my clinic and only 3 infants with Measles until 1999.
What is Measles?
1) Etiology: Measles virus
2) A typical case of measles begins with fever, cough, runny nose, red eyes,
------- and sore throat. 2~3 days after, tiny white spots (Koplik’s spots) may
------- appear inside the mouth.
------- 3~5 days after, a red or reddish-brown rash appears.
------- The rash usually begins on a person’s face at the hairline and
------- spreads downward to the neck, trunk, arms, legs, and feet.
------ When the rash appears, a person’s fever may spike to more than
------- 104 degrees Fahrenheit.
------- After a few days, the fever subsides, the rash fades and
------- skin pigmentation appear.
3) Clinical course of Measles:
コプリック斑=Koplik's spots, 結膜炎=conjunctivitis
はなかぜ=nasal congestion,せき=cough
4) Complications:
------ i) Pneumonia: frequently in infant. usually, caused by bacteria
-------------------------such as H. influenzae or streptococcus pneumoniae.
------ ii) Otitis media: freuently in infant and toddler.
------ iii) Croup: acute laryngitis.
------ iv) Measles encephlo-myelitis: 6~15 year old are at risk.
---------- usually occur in recovery phase. Urinary and walking disturbance
---------- are the early sigh. Don't worry . Most cases recover without of
-----------neurological sequerae
------ v) Encephlitis: 1/1,000
------ vi) keratitis: infant in the countries with vitamin A deficiency
------ vii) SSPE: vary rare
1) high fever, cough, eye dischrges and skin rash: