6 - Common Viral

Question 1

Rubeola

Answer 1

Measles

Droplet contact
Highly communicable

Fever, conjunctivitis, coryza, cough, Koplik spots

Red blotchy rash day 3-7
Starts on face, then trunk/arms
Sometimes desquamates

Vit A deficiency = high risk

Communicable just before sxs and 4 days after appearance of rash

Question 2

Rubella

Answer 2

Milder dz
Diffuse, punctate, maculopapular rash

Children are fine

Adults get more sick - low-grade fever, HA, malaise, conjunctivitis, mild coryza

Postauricular, occipital, and posterior cervical lymphadenopathy

Forscheimer spots (palate)

Bad for fetus - at birth, you’ll know - can look like exanthem, tho

ELISA - rubella-specific IgM - four-fold rise in Ab titer

CSF in newborn

Communicable - 1 week before onset, four days after rash

Do NOT immunize preggos