Measles

Question 1

How is measles transmitted, what is the responsible pathogen, and how is it prevented?

Answer 1

1. respiratory droplets
2. RNA paramyxovirus
3. MMR vaccine

Question 2

What are the clinical features of measles in the incubation period and how long does it last?

Answer 2

Asymptomatic for 10 days

Question 3

What are the clinical features of measles in the prodrome phase and how long does it last?

Answer 3

Cough, coryza, conjunctivitis, cranky, fever, malaise, anorexia, Koplik’s spots, last a few days.

Question 4

What are the clinical features of measles in the rash phase and how long does it last?

Answer 4

Maculopapular brick red blanching rash starting behind ears and spreading down the body, lymphadenopathy, high fever, irritability, miserable, lasts 4-5 days.

Question 5

What are the clinical features of the recovery phase of measles and how long does it last?

Answer 5

Cough can persist for 2 weeks

Question 6

How is measles diagnosed?

Answer 6

Clinical signs and symptoms, confirmed by anti-measles antibodies in saliva.

Question 7

What is the management for measles?

Answer 7

Supportive

Question 8

What are the complications of measles?

Answer 8

1. pneumonia is number one cause of death
2. otitis media is the number one complication
3. encephalitis, subacute sclerosing paraencephalitis, dystonia, dementia, GI upset, hepatitis, myocarditis, pericarditis.