Although we have not learned pathology yet, listening to cases in the infectious disease department made us excited for the upcoming year. We had the opportunity to see cases such as mumps and measles, both of which are rare in the United States.
Case 1: Mumps
27 y.o. male who presented with enlarged parotids, left testicular swelling on day 11, mild fever for 2 days, and headache. Patient had elevated salivary amylase. The physicians ruled out bacterial infection because the neutrophil and WBC count was normal, there was no redness or inflammation of the parotids, and they weren’t able to squeeze mucous out of the glands. They treated the patient with supportive therapy: administering fluids and applying ice/heat to the neck or testicular area. One of the biggest concerns the doctors had was infertility. Other possible complications include encephalitis and meningitis.
Case 2: Measles
Patient presented with rash that spread from the head to trunk and finally to limbs (itchiness, redness that usually appears on days 3-5), continuous fever of 104 degrees Fahrenheit (without chills), headache, sore throat, runny nose, and dry cough. Some potential complications include pneumonia, meningitis, and rarely encephalitis. Like mumps, treatment for measles was supportive therapy: reduce fever and headache, administer fluids, and prescribe antibiotics to prevent infection due to weakened immune system.
Unlike the US where all children must be vaccinated to attend school, some of the patients were not. In fact, in Ha Noi, there has been an upsurge of measles recently because up to 80% of patients were not vaccinated, according to the National Institution of Hygiene and Epidemiology. Once vaccinated for measles, a patient will have life-long immunity.