Measles Flashcards
Measles epidemiology
MMR vaccine highly protective
primarily unvaccinated travelers from endemic areas
spread via droplet nuclei
manifestations of measles
high fever, and 3 C’s (cough, coryza, conjunctivitis) and Koplik spots (raised whitish lesions on mucosal membranes)
See maculopapular rash 48 hrs after fever and cephalocaudal and centrifugal spread
diagnossi of measles
serum and nasopharyngeal throat swab and IgM or RT PCR
treatment of measles
Supportive - usually pts will improve after 48 hrs of rash onset
airborne isolation >4 days after rash
Complications of Measles
diarrhea, otitis, pneumonia and subacute sclerosing panencephalitis in about 30% of cases
MMR vaccine is
2 vaccines and is 07% protective.
when does the viral exanthem begin?
2-4 days after fever onset and see erythematous macular blanching rash that starts on face and spreads down towards feet and centrifugally to limbs
Koplik spots are
small white grey blue lesions on a erythematous base frequenly form on buccal or labial mucosa and related to measles
what to check on someone with suspected measles
throat nad nasopharyngeal swab testing for measles IgM and RT PCR
how long does droplet stay in the air in airborne diseases?
2 hrs and someone with measles needs to be self quarantined for at least 4 days after rash onset.
