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Measles

​Measles is a childhood infection caused by a virus. Once quite common, measles can now almost always be prevented with a vaccine. Signs and symptoms of measles include cough, runny nose, inflamed eyes, sore throat, fever and a red, blotchy skin rash. Also called rubeola, measles can be serious and even fatal for small children. While death rates have been falling worldwide as more children receive the measles vaccine, the disease still kills more than 100,000 people a year, most under the age of 5. As a result of high vaccination rates, measles has not been widespread in the United States for more than a decade. Today, the United States averages about 60 cases of measles a year, and most of them originate outside the country.

Risk Factors

  • Being unvaccinated. If you haven't received the vaccine for measles, you're much more likely to develop the disease.
  • Traveling internationally. If you travel to developing countries where measles is more common, you're at higher risk of catching the disease.
  • Vitamin A deficiency. If you don't have enough vitamin A in your diet, you're more likely to contract measles and to have more-severe symptoms.

Complications

  • Ear infection. One of the most common complications of measles is a bacterial ear infection.
  • Bronchitis, laryngitis or croup. Measles may lead to inflammation of the larynx or inflammation of the inner walls that line the main air passageways of your lungs (bronchial tubes).
  • Pneumonia. Pneumonia is a common complication of measles. People with compromised immune systems can develop an especially dangerous variety of pneumonia that is sometimes fatal.
  • Encephalitis. About 1 in 1,000 people with measles will develop encephalitis, an inflammation of the brain that may cause vomiting, convulsions, and, rarely, coma or even death. Encephalitis can closely follow measles, or it can occur months later.
  • Pregnancy problems. If you're pregnant, you need to take special care to avoid measles because the disease can cause pregnancy loss, preterm labor or low birth weight.
  • Low platelet count (thrombocytopenia). Measles may lead to a decrease in platelets, the type of blood cells that are essential for blood clotting.

Signs & Symptoms

Measles infection occurs in sequential stages over a period of two to three weeks.

  • Infection and incubation. For the first 10 to 14 days after you're infected, the measles virus incubates. You have no signs or symptoms of measles during this time.
  • Nonspecific signs and symptoms. Measles typically begins with a mild to moderate fever, often accompanied by a persistent cough, runny nose, inflamed eyes (conjunctivitis) and sore throat. This relatively mild illness may last two or three days.
  • Acute illness and rash. The rash consists of small red spots, some of which are slightly raised. Spots and bumps in tight clusters give the skin a splotchy red appearance. The face breaks out first, particularly behind the ears and along the hairline. Over the next few days, the rash spreads down the arms and trunk, then over the thighs, lower legs and feet. At the same time, fever rises sharply, often as high as 104 to 105.8 F (40 to 41 C). The measles rash gradually recedes, fading first from the face and last from the thighs and feet.
  • Communicable period. A person with measles can spread the virus to others for about eight days, starting four days before the rash appears and ending when the rash has been present for four days.

When to See Your Doctor

Please call the clinic first if you have fever and a rash that looks like measles. The clinic needs to arrange to have you seen without exposing others to the infection. Review your immunization records with your doctor, especially before starting college and before international travel.

The cause of measles is a virus that replicates in the nose and throat of an infected child or adult. When someone with measles coughs, sneezes or talks, infected droplets spray into the air, where other people can inhale them. The infected droplets may also land on a surface, where they remain active and contagious for several hours. You can contract the virus by putting your fingers in your mouth or nose or rubbing your eyes after touching the infected surface.

What to Expect from Your Doctor

Your doctor is likely to ask you a number of questions, such as:

  • Have you been vaccinated for the measles? If so, do you know when?
  • Have you traveled out of the country recently?
  • Does anyone else live in your household? If yes, have they been vaccinated for measles?

Your doctor can usually diagnose measles based on the disease's characteristic rash as well as a small, bluish-white spot on a bright red background - Koplik's spot - on the inside lining of the cheek. If necessary, a blood test can confirm whether the rash is truly measles.

In addition, if the doctor believes that you have the measles, he or she must report those findings to the local health department

No treatment can get rid of an established measles infection. However, some measures can be taken to protect vulnerable individuals who have been exposed to the virus.

  • Post-exposure vaccination. Non-immunized people, including infants, may be given the measles vaccination within 72 hours of exposure to the measles virus to provide protection against the disease. If measles still develops, the illness usually has milder symptoms and lasts for a shorter time.
  • Immune serum globulin. Pregnant women, infants and people with weakened immune systems who are exposed to the virus may receive an injection of proteins (antibodies) called immune serum globulin. When given within six days of exposure to the virus, these antibodies can prevent measles or make symptoms less severe.

What You Can Do in the Meantime

  • Hydrate. Electrolyte solutions, such as Pedialyte, or sports drinks, such as Gatorade or Powerade, can help you stay hydrated and maintain your electrolyte balance.
  • Fever. If fever is making you uncomfortable, medications such as acetaminophen (Tylenol, others) or ibuprofen (Advil, Motrin, others) can help bring the fever down.
  • Antibiotics. If a bacterial infection, such as pneumonia or an ear infection, develops while you or your child has measles, your doctor may prescribe an antibiotic.
  • Vitamin A. People with low levels of vitamin A are more likely to have a more severe case of measles. Giving vitamin A may lessen the severity of the measles. It's generally given as a large dose of 200,000 international units (IU) for two days.

Keep in touch with your doctor as you monitor the progress of the disease and watch for complications.

Try to Stay Comfortable

  • Take it easy. Get rest and avoid busy activities.
  • Drink fluids. Drink plenty of water, fruit juice and herbal tea to replace fluids lost by fever and sweating.
  • Seek respiratory relief. Use a humidifier to relieve cough and sore throat.
  • Rest your eyes. If you or your child finds bright light bothersome, as do many people with measles, keep the lights low or wear sunglasses. Also avoid reading or watching television if light from a reading lamp or from the television is bothersome.

If someone in your household has measles, take these precautions to protect vulnerable family and friends:

  • Isolation. Because measles is highly contagious from about four days before to four days after the rash breaks out, people with measles should not return to activities in which they interact with other people during this period. It may also be necessary to keep non-immunized people (siblings, for example) away from the infected person.
  • Vaccination. Be sure that anyone who is at risk of getting the measles who has not been fully vaccinated receives the measles vaccine as soon as possible. This includes anyone born after 1957 who has not been vaccinated, as well as infants older than 6 months.

Preventing New Infections

If you have already had measles, your body has built up its immune system to fight the infection, and you cannot get measles again. Most people born or living in the United States before 1957 are immune to measles, simply because they have already had it.

For everyone else, there is the measles vaccine, which is important for:

  • Promoting and preserving herd immunity. Since the introduction of the measles vaccine, measles has virtually been eliminated in the United States, even though not everyone has been vaccinated. This effect is called herd immunity. But herd immunity may now be weakening a bit. The rate of measles in the U.S. recently tripled.
  • Preventing a resurgence of measles. Soon after vaccination rates decline, measles begins to come back. In 1998, a now-discredited study was published erroneously linking autism to the measles, mumps and rubella (MMR) vaccine.

In the United Kingdom, where the study originated, the rate of vaccination dropped to an all-time low of just under 80 percent of all children in 2002. Between 2012 and 2013, more than 1,200 children in the U.K. contracted measles, up from 380 children in 2010.

Resources

Mayo Clinic: http://www.mayoclinic.org/diseases-conditions/measles/basics/symptoms/CON-20019675
The Centers for Disease Control: http://www.cdc.gov/measles/about/index.html