청소년연령에서의 볼거리 뇌수막염 유행

청소년연령에서의 볼거리 뇌수막염 유행

An Outbreak of Mumps meningitis among Adolescents

(포스터):
Release Date : 2013. 10. 18(금)
Chu Chen Chen, Ju Young Kim, Wan Jong Park, Jun Ho Hwang, Seung Yeon Kim, Hyun Jung Kim, Soo Jin Lee, Joo Hyung Kang, Chul Woo Yoo, and Jon Soo Kim
Department of Pediatrics, Eulji Univeristy College of Medicine
곡진진, 김주영, 박완종, 황준호, 김승연, 김현정, 이수진, 강주형, 유철우, 김존수
을지대학교 의과대학 소아과학교실

Abstract

Purpose: We report sharp rise of incidence of mumps meningitis at our institute in the past year and described the clinical manifestations, laboratory findings, and complications. Methods: This is a retrospective study involving 18 patients with mumps meningitis at Eulji University Hospital between July 2012 to June 2013. They were diagnosed by definite parotid gland swelling and leukocytosis in CSF study. Results: We identified 17 boys and 1 girl clearly showing male predominance. The age group involved was 12 to 17 years, mean being 15.2 years. All the 18 patients were received two dose of mumps vaccine according to the National Immunization Schedule. The initial clinical features included fever(100%), nausea or vomiting(100%), headache(100%), unilateral parotitis(28%), bilateral parotitis(72%). The duration of CNS symptoms onset was 1 to 7 days, mean being 4.6 days. The investigations included raised serum amylase(88%). Initial CSF examination showed lymphocytic predominance with cell count range between 5 and 2,595 /uL, mean being 362. Mumps virus specific IgM positivity was 6 of 14 (43%) in serum and 4 of 17 (24%) in CSF. The total duration of illness including hospitalization was 9 to 15 days, mean being 10.8 days. There was no serious neurologic deficit but 6 of 18 (33%) complained mild headache or dizziness after discharge. It caused delay in back-to-work. Conclusion: It is worthy of notice that recent outbreak of mumps among adolescents are more complicated. We need to be more aggressive about prevention of mumps outbreak to bring on substantial socioeconomic loss.

Keywords: Mumps, Meningitis, Adolescents