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임상적으로 진단한 사춘기 이후 유행성 이하선염

Other Titles
 Clinical Characteristics of Mumps in Postpubertal Age 
 염준섭  ;  문윤재  ;  김은숙  ;  최영화  ;  송영구  ;  김응  ;  김준명 
 Korean Journal of Infectious Diseases (감염), Vol.29(4) : 305-311, 1997 
Journal Title
 Korean Journal of Infectious Diseases (감염) 
Issue Date
BACKGROUND: Mumps is a generalized viral infection that usually occurs in school-aged children and young adults, characterized by nonsuppurative swelling and tenderness of salivary glands. Mumps in postpubertal person is usually a more severe and commonly associated with extrasalivary gland involvement. This study was undertaken to analyze clinical characteristics of mumps in postpubertal person in Korea. METHODS: Forty-four cases of mumps, diagnosed during March 1983 to February 1995 in Severance hospital, were analyzed retrospectively. RESULTS: Since the end of 1980's, mumps seemed to resurge among postpubertal persons, mainly during the winter and spring. The majority of patients were under 25 years old. Parotitis was developed in all 44 cases. Sixty-five percent of male patient suffered orchitis accompanied by high fever(>38.5degreeCC). Meningitis occurred in 18% of cases. Average hospital stay was 6.3 days. All cases were cured without any sequelae. CONCLUSION: Mumps was more severe and extrasalivary gland involvement was common in postpubertal person than in children. Occurrence of high fever during the course of illness may indicate development of orchitis. Therefore, MMR vaccination should be performed in nonimmunized postpubertal persons. Additionally, booster immunization should be considered in immunized postpubertal persons.
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Kim, June Myung(김준명)
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