There are two types of mumps: acute purulent mumps and mumps. Purulent mumps are less common. It is caused by a purulent pathogen, the most common causative agent being Staphylococcus aureus. It is mostly complicated by serious illnesses (e.g., acute infectious diseases) or after major surgery. In normal times, the parotid gland secretes a large amount of saliva that drains into the mouth through the parotid ducts, aiding digestion and flushing self-cleaning. In patients with serious and wasting diseases, such as late acute infectious diseases or after major thoracic or abdominal surgery, the body’s resistance decreases, the immune systemic and oral immunity is weakened, salivary secretion is dysfunctional, and pathogenic bacteria enter the gland retrogradely through the parotid ducts and acute suppurative parotitis occurs. In addition, trauma or the expansion of inflammation in the surrounding tissues, salivary stones, scar contracture, etc., can affect salivary elimination and cause the disease. The initial symptoms of acute suppurative mumps are mainly painful and gradually cause enlargement of the parotid area centered on the earlobe, disappearance of the posterior jaw concavity, and upturning of the earlobe. As the parotid envelope is dense, the swelling is restrained and the internal pressure is increased, so the pain is intense and the pain to palpation is obvious. There are varying degrees of strong mouth restriction. Due to the fascial separation, abscesses are often multiple, scattered small foci of pus, so there is no typical fluctuating sensation in the early stage. The ductal orifice of the parotid gland may appear red and swollen, and pressure on the ductal orifice of the enlarged parotid area may result in purulent or inflammatory secretions. Most patients have systemic symptoms such as high fever, chills, general malaise, and leukocytosis. If the infection is not treated in time, it can cause necrosis of the glandular tissue, spreading to the entire parotid tissue and spreading to the surrounding tissues. Treatment The initial stage of inflammation, i.e. plasmacytic inflammation, can be treated with antibiotics, such as a combination of penicillin and streptomycin or other broad-spectrum antibiotics. Local physical therapy, such as ultrashort wave, infrared, or topical application of herbs, is available. Local rinse to clean the mouth. And drink acidic food to promote secretion. If the inflammation cannot be controlled by conservative treatment, the patient has throbbing pain, local concussive edema, or compression of parotid tissue with pus flowing from parotid ducts. Incision and drainage are performed under local anesthesia, and the incision is made in front of the ear screen or at the posterior edge of the mandibular angle, to be inserted into the parotid gland with a large vascular forceps, to separate the pus cavity of each glandular lobe. It is important to avoid damaging the facial nerve when making the incision. When mumps is suspected in children, care should be taken to identify whether it is purulent mumps or mumps. The latter is an infectious disease caused by a virus. In the former, the total white blood cell count is elevated, the neutrophil ratio is increased, often unilaterally, and local symptoms are obvious. In contrast, most patients have a history of mumps contact transmission, which can be bilateral. The fever is more pronounced and there is no purulent discharge from the opening of the parotid duct. The total white blood cell count is not high, and the percentage of lymphocytes in the classification is increased. Blood and urine amylase is significantly increased. Lipase may be elevated in cases of coexisting pancreatitis.