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Measles, Emergency Medicine

Reviewed 06/2017
 


Basics

Description

  • Vaccine preventable, primarily childhood, infectious disease characterized by fever, cough, coryza, conjunctivitis, and erythematous maculopapular rash

  • Also known as rubeola

  • Incidence ...

Diagnosis

Signs and Symptoms

  • Incubation (10–12 days) before appearance of rash:

    • Transmission via direct contact or inhalation of infectious droplet

    • Children usually have incomplete or no immunization.

  • Pro...

Treatment

Pre-Hospital

Nonimmunized pre-hospital care personnel should be advised of potential risks described above. 
  • ABCs if indicated

Ed Treatment/Procedures

  • Prevention with vaccination is cornerstone ...

Follow-Up

Disposition

Admission Criteria

  • Severe pneumonia

  • Dehydration

  • Encephalitis

  • SSPE

  • Immunocompromised patients:

    • AIDS

    • Immunosuppressive therapy

  • Elderly patients with comorbid conditions

Discharge Criteria

Dur...

Pearls and Pitfalls

  • One of the most highly communicable of infectious diseases; death occurs in 1–3/1,000 cases in US. Respiratory isolation in health care settings is a must

  • Severely immunocompromised...

Additional Reading

  • American Academy of Pediatrics. Measles. In: Pickering  LK, ed. Red Book 2012: The Report of the Committee on Infectious Diseases. 27th ed. Elk Grove Village, IL: American Academy...

Codes

ICD9

  • 055.0 Postmeasles encephalitis

  • 055.1 Postmeasles pneumonia

  • 055.9 Measles without mention of complication

  • 055.79 Measles with other specified complications

  • 055.2 Postmeasles otitis media

  • 055.71 Me...

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