Measles

I have seen no patients with Measles since 1999. In April, 1997, I opened
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:

麻疹＝Measles, 体温=Body Temperature, 発疹=skin rash，

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

Here, show the old photos of Measles:

1) high fever, cough, eye dischrges and skin rash:

2) Koplik's spot: look like candida infection.

3) skin pigmentation.