볼거리 의심환자의 초진에서 경부 초음파의 유용성
The Significance of Salivary Gland Ultrasound in the First Medical Examination for Mumps Outbreak
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To compare the accuracy of diagnosis in mumps patients between using salivary gland ultrasound (US) and physical examination (PE). Subjects and Methods：The medical records of 72 patients who suspicious for mumps at first medical examination [36 patients were performed with ultrasound (US), 36 patients without ultrasound (PE)] were reviewed. Results：There was no significant difference in sex ratio and mean age between US and PE. In US group, 6 patients were suspicious for other disease or normal gland by ultrasound. Among them, 1 patient of was diagnosed finally with mumps. Among another 30 patients who were suspicious for mumps, 28 patients was diagnosed with mumps (sensitivity 96.6%, specificity 71.4%, positive predictive value 93.3%, negative predictive value 83.3%, accuracy 91.7%). In PE group, 2 patients were suspicious for normal, but all of them finally was diagnosed with mumps finally. Among another 34 patients who were suspicious for mumps, 21 patients were diagnosed with mumps (sensitivity 58.3%, specificity 0%, positive predictive value 61.8%, negative predictive value 0%, accuracy 58.3%). There was a significant difference in sensitivity (p＜ 0.05), specificity (p＜0.05), positive predictive value (p＜0.05), negative predictive value (p＜0.05) and accuracy (p＜0.05). All ultrasound was performed at the same day of initial visit. It takes 2.3 day to get the blood test result. Conclusions：Salivary gland ultrasound in the patients who were suspicious for mumps could be used for improving the accuracy of diagnosis in mumps patient at the first medical examination
Abstract
To compare the accuracy of diagnosis in mumps patients between using salivary gland ultrasound (US) and physical examination (PE). Subjects and Methods：The medical records of 72 patients who suspicious for mumps at first medical examination [36 patients were performed with ultrasound (US), 36 patients without ultrasound (PE)] were reviewed. Results：There was no significant difference in sex ratio and mean age between US and PE. In US group, 6 patients were suspicious for other disease or normal gland by ultrasound. Among them, 1 patient of was diagnosed finally with mumps. Among another 30 patients who were suspicious for mumps, 28 patients was diagnosed with mumps (sensitivity 96.6%, specificity 71.4%, positive predictive value 93.3%, negative predictive value 83.3%, accuracy 91.7%). In PE group, 2 patients were suspicious for normal, but all of them finally was diagnosed with mumps finally. Among another 34 patients who were suspicious for mumps, 21 patients were diagnosed with mumps (sensitivity 58.3%, specificity 0%, positive predictive value 61.8%, negative predictive value 0%, accuracy 58.3%). There was a significant difference in sensitivity (p＜ 0.05), specificity (p＜0.05), positive predictive value (p＜0.05), negative predictive value (p＜0.05) and accuracy (p＜0.05). All ultrasound was performed at the same day of initial visit. It takes 2.3 day to get the blood test result. Conclusions：Salivary gland ultrasound in the patients who were suspicious for mumps could be used for improving the accuracy of diagnosis in mumps patient at the first medical examination
참고문헌 (20)
- Anders H, "Mumps", The Lancet, 371, pp.932~944 (2008)
- Foy HM, "Isolation of mumps virus from children with acute lower respiratory tract disease", Am J Epidemiol, 94(5), pp.467~472 (1971)
- Johnson CD, "The etiology of mumps", Am J Hyg, 21, pp.46~57 (1935)
- Kilham L, "Mumps meningoencephalitis with and without parotitis", Am J Dis Child, 78(3), pp.9324~9333 (1949)
- Centers for Disease Control and Prevention, "Brief report: update: mumps activity-United States", MMWR Morb Mortal Wkly Rep, 55(42), pp.1152~1153 (2006)
- Johnstone JA, "Meningitis and encephalitis associated with mumps infection. A 10-year survey", Arch Dis Child, 47(254), pp.647~651 (1972)
- Ritter BS, "Mumps meningoencephalitis in children", J Pediatr, 52(4), pp.424~433 (1958)
- Overman JR, "Viremia in human mumps virus infections", AMA Arch Intern Med, 102(3), pp.354~356 (1958)
- Sniezek JC, "Preface: head and neck ultrasound", Otolaryngol Clin N Am, 43(6), pp.9~10 (2010)
- Jeffrey MB, "The expanding utility of officebased ultrasound for the head and neck surgeon", Otolaryngol Clin N Am, 43(6), pp.1203~1208 (2010)
- Philip RN, "Observations on a mumps epidemic in a virgin population", Am J Hyg, 69(2), pp.91~111 (1959)
- Ennis FA, "Isolation of virus during the incubation period of mumps infection", J Pediatr, 72(4), pp.536~537 (1968)
- Rabinov JD, "Imaging of salivary gland", Radiol Clin North Am, 38(5), pp.1047~1057 (2000)
- Salaffi F, "Usefulness of ultrasonography and color Doppler sonography in the the diagnosis of major salivary gland diseases", Reumatismo, 58(2), pp.138~156 (2006)
- Markusse HM, "The diagnostic value of salivary gland scintigraphy in patients suspected of primary Sjögren’s syndrome", Br J Rheumatol, 32(3), pp.231~235 (1993)
- Sodhi KS, "Role of high resolution ultrasound in parotid lesions in children", Int J Pediatr Otorhinolaryngol, 75(11), pp.1353~1358 (2011)
- Martinoli C, "Color Doppler sonography of salivary glands", AJR Am J Roentgeno, 163(4), pp.933~941 (1994)
- Madani G, "Inflammatory conditions of the salivary glands", Semin Ultrasound CT MR, 27(6), pp.440~451 (2006)
- Zenk J, "Diagnostic imaging in sialadenitis", Oral Maxillofac Surg Clin North Am, 21(3), pp.275~292 (2009)
- Miglets AW, "Infections, Part III. Clinical entities, In Otolaryngology-Head and Neck Surgery. vol. 2", pp.999~1006 (1986), Mosby-Year Book