Measles Flashcards

1
Q

What is measles ( rubella )

A

It is a highly contagious acute respiratory disease

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2
Q

Causative agent

A

Measles virus
Genus morbilivirus
Family paramyxoviridae

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3
Q

Epidemiology

A

Worldwide distribution

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4
Q

How is it transmitted?

A

Respiratory secretions

Exposure through aerosols

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5
Q

From which day are patients contagious ?

A

From 1 or 2 days before symptoms onset

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6
Q

Mean interval from infection to symptoms onset and rash appearance

A

10-14 days

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7
Q

Pathogenesis

A

Virus invades respiratory epithelium
Spread via bloodstream
To réticuloendothélial system
From which it affects white blood cells

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8
Q

Clinical manifestation beginning

A
Malaise
Cough
Conjunctivitis 
Nasal discharge 
Fever up to 40.6
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9
Q

Clinical manifestation after respiratory syndrome

A

Koplick spot
1-2mm blue white spots
Located on buccal mucosa
Near second molar

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10
Q

What appears after the general clinical manifestation and koplick spot

A

Rash on the body

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11
Q

Describe the rash

A

Erythrmathous
Non pruritic
Maculopapular rash

Begging at the hairline and behind ear
Trunk and limbs
Palm and soles

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12
Q

After how many days does the rash fade ?

A

4 days

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13
Q

What happens when the rash fades ?

A

Brown discoloration can be seen on the skin

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14
Q

Complications of measles

A
Otitis media
Pneumonia
Croup
Diarrhea
Cervical adénitis
Acute encephalitis
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15
Q

What is atypical measles

A

In individuals who received formalin inactivated measles vaccine and were later exposed to measles

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16
Q

Symptoms of atypical measles

A

High fever
Urticarial , hemorrhagic rash
Edema of the extremities
Pulmonary infiltrates

17
Q

Measles in the immunocompromised host

A

Can be fatal
May not be rash
Progressive encephalitis
Giant cell pneumonia

18
Q

Measles in adult

A

Can develop primary viral pneumonia
Hepatitis
Rash is more severe
Bacterial superinfection

19
Q

Laboratory findings

A

Lymphopenia
Neutropenia
Leukocytosis may be seen in case of bacterial superinfection

20
Q

Diagnosis

A

Immunofluorescent staining of smear of respiratory secretion for measles antigen
PCR
Enzymes immunoassay
Specific IgM detection

21
Q

Differential diagnosis

A

Kawasaki disease
Scarlet fever
Infectious mononucleosis
Drug eruption

22
Q

Prevention

A

MMR vaccine

Measles mumps rubella

23
Q

Treatment of measles

A

Supportive and symptomatic

AB for otitis and pneumonia