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Infectious Diseases in Obstetrics and Gynecology
Volume 2012, Article ID 345068, 4 pages
http://dx.doi.org/10.1155/2012/345068
Clinical Study

Presumed Cases of Mumps in Pregnancy: Clinical and Infection Control Implications

1Department of Obstetrics and Gynecology, Maimonides Medical Center, 967 48th Street, Brooklyn, NY 11219, USA
2Department of Internal Medicine, Maimonides Medical Center, Brooklyn, NY 11219, USA
3Department of Infection Control, Maimonides Medical Center, Brooklyn, NY, USA
4Department of Obstetrics and Gynecology, Maimonides Medical Center, SUNY Downstate Medical Center, Brooklyn, NY 11203, USA

Received 2 November 2011; Accepted 21 November 2011

Academic Editor: Lu-Yu Hwang

Copyright © 2012 Svjetlana Lozo et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Recently, a mumps outbreak in New York and New Jersey was reported by the Centers for Disease Control and Prevention (CDC). Subsequently, the dissemination of the disease was rapid, and, from June 28th 2009 through January 29th 2010, a total of 1,521 cases of mumps were reported in New York and New Jersey. Seven presumed cases occurred in pregnant women cared for at our institution. Mumps diagnosis as per the NYC Department of Health and Mental Hygiene was based on clinical manifestations, particularly parotitis. Prior immunizations with mumps vaccine and negative IgM were not adequate to rule out mumps infections. All of our seven patients had exposure to mumps in either their household or their community, and some of the them had symptoms of mumps. Due to the difficulties in interpreting serologies of these patients, their cases led to a presumed diagnosis of mumps. The diagnosis of mumps lead to the isolation of patients and health care personnel that were in contact with them. In this paper, we detail the presenting findings, diagnostic dilemmas and infection control challenges associated with presumed cases of mumps in pregnancy.