Simultaneous Aseptic Meningitis and Acute Non-Mumps Associated Parotitis

Abstract

Introduction: The classic “Mumps” is known as a viral parotitis caused by mumps virus belonging to the genus Rubulavirus in the Paramyxoviridae family. Case Presentation: We reviewed three patients diagnosed with aseptic meningitis due to acute non-mumps associated parotitis based on clinical and laboratory findings. While there are many similarities between the clinical characteristics of classic mumps and acute non-mumps associated parotitis, some significant differences exist. In addition, there are some important differences between mumps meningitis and aseptic meningitis due to non-mumps associated parotitis. If acute parotitis accompanies with clinical manifestations different from classic mumps and associated with aseptic meningitis in early stage of the disease with initially negative serological test for mumps, acute parotitis with aseptic meningitis caused by non-mumps virus should be considered and various serological tests should be performed to identify the causative virus. Discussion: PCR or enzyme linked immunosorbent assay (ELISA) on serum or cerebrospinal fluid would be the inevitable basis for accurate diagnosis in such cases.