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Measles (Rubeola)

Reviewed 06/2018
 


BASICS

DESCRIPTION

  • A highly communicable, acute viral illness characterized by an exanthematous maculopapular rash that begins at the head and spreads inferiorly to the trunk and extremities

  • Rash is pre...

DIAGNOSIS

HISTORY

  • Prodromal period: usually 2 to 3 days before rash (may be up to 8 days)

    • Fever

      • May begin 8 to 12 days after exposure; can persist until 2 to 3 days after rash onset

      • Temperature often ...

TREATMENT

GENERAL MEASURES

  • Place all patients with measles in respiratory isolation until 4 days after onset of rash; immunocompromised patients should be isolated for duration of illness.

  • Supportive th...

ONGOING CARE

FOLLOW UP RECOMMENDATIONS

Signs of complications needing close follow-up: 
  • Difficulty breathing or noisy breathing

  • Changes in vision

  • Changes in behavior, confusion

  • Chest or abdominal pain

PATIENT EDUCATION

REFERENCES

1
Orenstein W, Seib K. Mounting a good offense against measles. N Engl J Med.  2014;371(18):1661–1663. [View Abstract on OvidMedline]
2
Rowhani-Rahbar A, Fireman B, Lewis E, et al. Effec...

ADDITIONAL READING

CODES

ICD10

  • B05.9 Measles without complication

  • B05.2 Measles complicated by pneumonia

  • B05.89 Other measles complications

  • B05.81 Measles keratitis and keratoconjunctivitis

  • B05.3 Measles complicated by otiti...

CLINICAL PEARLS

  • There is no substantiated link between MMR vaccine and autism.

  • Measles is a highly communicable viral disease whose natural transmission has been halted in the United States by mass imm...

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