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Mumps, per se, means nothing more than a few days of inconvenience; but mumps, with metastasis, is an entirely different problem and exacts a quarantine period and corresponding loss of time of from three to six weeks.
It is interesting to note, in passing, that the remarkable metastasis of this specific infection, so far as the testes are concerned, has never been satisfactorily explained. Military surgeons, who see much of the disease among young recruits and are therefore best qualified to theorize, have suggested that the infecting element is transferred to the penis with the fingers, and that its ultimate transmission is along the urethra. On the other hand, during the latter part of 1918 and the early part of 1919, at the U. S. Naval Hospital at New Orleans, it was rather definitely shown that early treatment of parotid infections with convalescent serum prevented testicular metastasis.
During a recent
Fougerousse HL. MUMPS: A PRELIMINARY REPORT OF THE EFFECT OF DIATHERMY IN TESTICULAR METASTASIS. JAMA. 1925;84(15):1117. doi:10.1001/jama.1925.26620410004009e
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