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Every fourth patient has an inflammation of the submandibular salivary gland (submaxillitis), more often in combination with mumps. Glands increase in size, have a soft consistency. Often attached swelling of subcutaneous fat. Microscopically in the gland, edema, plethora, lymphomacrophage infiltration, serous exudate, often with an admixture of fibrin, are determined. Changes are most pronounced in the stroma of the organ, glandular tissue undergoes few changes.

With mumps infection, the genitals can be involved in the process: testicles, ovaries, prostate gland, mammary glands. Most often, inflammation of the testicles (orchitis) occurs. The morphological picture is similar to changes in the salivary glands. However, as a rule, severe damage is observed not only in the stroma, but also in the epithelium of the seminiferous tubules, which leads to a persistent violation of spermatogenesis after suffering orchitis. It is believed that about 10% of cases of male infertility are associated with mumps infection.

Mumps pancreatitis usually develops in combination with damage to other organs, its course is usually favorable.

Damage to the nervous system is manifested by meningitis, meningoencephalitis, neuritis, polyradiculoneuritis. Most often, serous or serous-fibrinous meningitis with lymphoid infiltration of the pia mater develops. In the brain - edema, perivascular hemorrhage. In severe cases, meningoencephalitis develops with lymphoid perivascular infiltration of the brain substance, damage to the ventricular ependyma and the choroid plexus. Foci of demyelination are possible. The course of the disease is usually favorable, but in some cases there is a persistent preservation of focal symptoms or a violation of the circulation of cerebrospinal fluid with the development of hydrocephalus.

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  1. Parotitis
    Training target: using diagnostic algorithms, be able to establish a diagnosis of mumps, determine the clinical form of the disease, complications and prescribe adequate treatment. Assignment for independent study of the topic. Using a textbook and lecture material to acquire the necessary basic knowledge, learn the following sections for practical training: 1.
  2. Parotitis
    Mumps (mumps) - refers to acute contagious viral diseases, characterized by fever, general intoxication, an increase and soreness of the salivary glands, mainly the parotid. Etiology. The virus causative agent of mumps infection is unstable, is inactivated by heating (at a temperature of 70 ° C for 10 min), ultraviolet radiation, exposure to formalin solutions
    C. George Ray (C. George Ray) Definition. Mumps (mumps) is an acute highly contagious disease of viral etiology, characterized by an increase in the parotid salivary glands, and sometimes involvement in the process of the sex glands. meninges, pancreas, and other organs. Etiology. The causative agent of mumps belongs to the family
  4. Parotitis
    Mumps (mumps) is a childhood viral infection characterized by acute inflammation in the salivary glands. The causative agent of mumps belongs to the RNA-containing viruses, the genus Paramyxovirus. Infection occurs by airborne droplets. The susceptibility to this disease is about 50-60% (that is, 50-60% of those who were in contact and did not get sick or not vaccinated get sick). Piggy
  6. Question 28 The epidemic process
    —A chain of continuous, consecutive, infectious conditions, from asymptomatic carriage to manifest diseases caused by a pathogen circulating in the collective. The epidemic process manifests itself in the form of epidemic foci, with one or more cases of illness or carriage. The epidemic process is determined by the continuity of the interaction of its three components
  7. Epidemic Process Basics
    The epidemic process is the occurrence and spread of infections among the population. For the emergence and continuous course of the epidemic process, the interaction of three factors is necessary: ​​the source of the causative agents of the infection, the transmission mechanism of the infection, and the susceptible population. Shutting down any of these links interrupts the epidemic process. The biological basis of the epidemic
  8. Epidemic lethargic encephalitis Economo
    Economo's epidemic lethargic encephalitis (synonym: epidemic encephalitis type A, "sleeping" disease) was first recorded in 1915 by the troops near Verdun and described in 1917 by the Austrian neuropathologist K. Economo. The disease in those years proceeded in the form of epidemics that swept many countries of the world. In subsequent years, the disease manifested itself sporadically. Current disease in a typical
    Peter L. Ferine Definition. Epidemic relapsing fever is an acute infection characterized by repeated cycles of a rise in body temperature, which are separated from each other by asymptomatic intervals of apparent recovery. It is caused by spirochetes of the genus Borrelia and is represented by two epidemiological varieties - a disease transmitted by lice and a disease transmitted
  10. Piglet Epidemic Diarrhea
    Epidemic diarrhea of ​​piglets (womiting and wasting disease in piglets) is an acute infectious disease, mainly piglets older than 4-5 weeks of age, manifested by watery diarrhea. Etiology. The causative agent of the disease is an RNA-containing virus whose morphology is typical of the Coronaviridae family. Epizootological data. The source of the causative agent of the disease are sick animals,
  11. Epidemic encephalitis
    (Economo's disease, sleeping sickness, lethargic encephalitis, primary non-purulent inflammation of the brain). The causative agent of this disease is a filtered virus, which has not yet been isolated. Epidemic encephalitis was first described by Economo in 1917 during an epidemic in Austria, in the USSR — A. I. Geymanovich (Kharkov) and Y. M. Raimistom (Odessa) during an outbreak in 1 & 19
  12. Cerebrospinal epidemic meningitis
    Etiology and pathogenesis The disease is caused by meningococcus Frankel-Vekselbaum. This is a gram-negative diplococcus, located most often intracellularly. 4 strains of the pathogen were isolated: A, B, C, D. The disease is transmitted by airborne droplets and contact through objects that were in the patient’s use. The entrance gate is the mucous membrane of the pharynx and nasopharynx. Get sick
  13. Epidemic typhus (thyphus exanthematicus).
    It refers to anthroponous rickettsiosis, is transmitted by lice, is characterized by generalized thrombovasculitis of small vessels and is manifested by severe intoxication, meningoencephalitis, hepatosplenomegaly and polymorphic roseole-petechial skin rash (exanthema). The disease is more often observed between the ages of 20 to 40 years. There is some predominance of men compared with women.
  14. Section III Ensuring the sanitary-epidemiological well-being of the population
    Article 18. Sanitary and epidemic well-being of the population. Sanitary and epidemic well-being of the population of the USSR is ensured by comprehensive sanitary-hygienic and sanitary-epidemiological measures and a system of state sanitary supervision. Conducting sanitary-hygienic and sanitary - anti-epidemic measures aimed at improving the environment
  15. Outbreak Activities
    The patient is hospitalized for clinical and epidemiological reasons. At home, isolation is stopped 4 days after the rash, and in case of complications, after 10 days. In organized groups, where cases of measles have been detected, urgent vaccination is carried out for all unvaccinated and not ill with measles, as well as for people who do not have information about measles or vaccination. Passive immunization
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