Measles

Question 1

What true of virus is measles

Answer 1

RNA paramyxovirus

Question 2

How is measures spread through

Answer 2

Aerosols

Question 3

Features of measles ?

Answer 3

Conjunctivitis and fever

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Koplik spots - white spots on bucal mucosa - grain of salt on the by Al mucosa

Rash which starts behind your ear

discrete maculopapular rash becoming blotchy & confluent
desquamation that typically spares the palms and soles

diarrhoea occurs in around 10%

Question 4

Investigations of measles

Answer 4

IgM antibodies detected within few days of rash onset

Question 5

Management

Answer 5

Supportive

Question 6

Complications ?

Answer 6

otitis media: the most common complication

pneumonia: the most common cause of death

encephalitis: typically occurs 1-2 weeks following the onset of the illness)

subacute sclerosing panencephalitis: very rare, may present 5-10 years following the illness

febrile convulsions

keratoconjunctivitis, corneal ulceration

diarrhoea

increased incidence of appendicitis

myocarditis

Question 7

Management of contacts
if a child not immunized against measles and comes into contact with measles then

Answer 7

MMR should be offered (vaccine-induced measles antibody develops more rapidly than that following natural infection)
this should be given within 72 hours