Aseptic meningitis rare complication of mumps in an adult

Authors

  • Kalluru Padmalatha Department of General Medicine, Sree Balaji Medical College and Hospital, Chennai, Tamil Nadu, India
  • Arumugam Sankar Department of General Medicine, Sree Balaji Medical College and Hospital, Chennai, Tamil Nadu, India
  • Rajan Umashankar Department of General Medicine, Sree Balaji Medical College and Hospital, Chennai, Tamil Nadu, India
  • Abhilash Nair Department of General Medicine, Sree Balaji Medical College and Hospital, Chennai, Tamil Nadu, India
  • Panneer Selvam Kanmani Department of General Medicine, Sree Balaji Medical College and Hospital, Chennai, Tamil Nadu, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20223313

Keywords:

Mumps, Aseptic meningitis, Waning of vaccine immunity

Abstract

Mumps is endemic worldwide, with epidemics every 3-5 years in unvaccinated populations. After the introduction of the mumps vaccine in the national immunization schedule, the number of reported cases declined by >97% in 1989 until an outbreak of 6584 cases was reported in 2006 even in populations with high-level vaccination coverage and all the patients had a history of vaccination. Here we present a case of mumps with aseptic meningitis in a 42-year-old female. Although historically mumps was a disease of childhood, with most cases occurring in children 5-9 years of age, mumps now most frequently occur in older age groups. This shift in age distribution and the occurrence of mumps in the vaccinated population suggest a waning of vaccine immunity.

References

Nakanishi M, Uchida N, Kawai U, Oono M, Fujita Nakata M, Sanada M, et al. A case of mumps virus reinfection manifesting as severe meningitis that mimicked tuberculous meningitis. J Neuro Infect Dis. 2017;08:14-26.

Davison P, Morris J. Mumps. StatPearls [Internet], StatPearls Publishing; 2022.

Rahman A, Sudha KVL, Kalyani D, Shankar K. Assessment of incidence and complications of mumps at Sir Ronald Ross Institute of Tropical and Communicable Diseases (govt. Fever hospital), Hyderabad. Available at: https://doi.org/10.9790/ 0853-1504144044. Accessed on 2 December 2022.

Zamir CS, Schroeder H, Shoob H, Abramson N, Zentner G. Characteristics of a large mumps outbreak: clinical severity, complications, and association with vaccination status of mumps outbreak cases. Hum Vaccin Immunother. 2015;11:1413–7.

Department of Health and Human Services Centers For Disease Control And Prevention. Advisory Committee on Immunization Practices (ACIP). Cdc.gov 2017. Available at: https://www.cdc.gov/ vaccines/acip/meetings/downloads/min-archive/ min-2017-06.pdf. Accessed on 14 December 2022.

Litman N, Baum SG. Mandell, Douglas and Bennett’s Principles and Practice of Infectious Diseases. Philadelphia: Churchill Livingstone Elsevier; 2010.

Takeshima S, Yoshimoto T, Shiga Y, Kanaya Y, Neshige S, Himeno T, et al. Clinical, epidemiological and etiological studies of adult aseptic meningitis: Report of 13 cases with mumps meningitis. Rinsho Shinkeigaku. 2015;55:630–6.

Alberto D, María C, Aguilar Constanza V, Juan C. Aseptic meningitis associated to mumps during an epidemic outbreak. Rev Chil Infectol. 2019;36:106–11.

Jorquera LA, Ugarte CD, Avilés LC, Delpiano ML. Meningitis aséptica por virus parotídeo asociada a la vacuna. Rev Chilena Infectol. 2020;37:769–74.

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Published

2022-12-30

How to Cite

Padmalatha, K., Sankar, A., Umashankar, R., Nair, A., & Kanmani, P. S. (2022). Aseptic meningitis rare complication of mumps in an adult. International Journal of Research in Medical Sciences, 11(1), 355–357. https://doi.org/10.18203/2320-6012.ijrms20223313

Issue

Section

Case Reports