Fever and Rash: Revisiting Measles

Authors

  • Joana Rodrigues Barbosa Serviço de Pneumologia. Centro Hospitalar de Lisboa Norte. Lisboa.
  • Ana Silva Martins Serviço de Hematologia e Transplantação de Medula. Centro Hospitalar de Lisboa Norte. Lisboa.
  • Jorge Ruivo Serviço de Medicina 1. Hospital de Santa Maria. Centro Hospitalar de Lisboa Norte. Lisboa.
  • Leonor Carvalho Serviço de Medicina 1. Hospital de Santa Maria. Centro Hospitalar de Lisboa Norte. Lisboa.

DOI:

https://doi.org/10.20344/amp.9776

Keywords:

Exanthema, Fever, Measles

Abstract

Fever and rash are a common combination of symptoms in the young adult patient. The etiologic investigation is usually oriented towards the most common diseases, but atypical presentations of less frequent conditions should also be recalled. We describe the case of a 44 year-old Portuguese woman who presented with fever, conjunctivitis, cough and rash, rapidly evolving to hepatitis and extensive pneumonia with respiratory failure. Although she claimed to be vaccinated according to the national immunisation schedule, a final diagnosis of primary measles pneumonia was clinically made and confirmed by serology. However, some less typical features mislead us initially. Although the rare form of primary measles pneumonia is more prevalent among immunosuppressed patients, our patient was immunocompetent. Moreover, absence of contagiousness, as was the case, occurs more frequently in atypical measles. This case highlights the need to always confirm the alleged vaccination status in adults and raises attention to some unusual features of typical measles.

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Author Biographies

Joana Rodrigues Barbosa, Serviço de Pneumologia. Centro Hospitalar de Lisboa Norte. Lisboa.

M.D., Médica Interna de Pneumologia, Serviço de Pneumologia, Centro Hospitalar de Lisboa Norte, Lisboa, Portugal.

Ana Silva Martins, Serviço de Hematologia e Transplantação de Medula. Centro Hospitalar de Lisboa Norte. Lisboa.

M.D., Médica Interna de Hematologia clínica, Serviço de Hematologia e Transplantação de Medula, Centro Hospitalar de Lisboa Norte, Lisboa, Portugal

Jorge Ruivo, Serviço de Medicina 1. Hospital de Santa Maria. Centro Hospitalar de Lisboa Norte. Lisboa.

M.D., Assistente Hospitalar de Medicina Interna, Serviço de Medicina 1, Centro Hospitalar de Lisboa Norte, Lisboa, Portugal. Morada: Departamento de Medicina 1, Centro Hospitalar de Lisboa Norte – Hospital de Santa Maria, Av. Egas Moniz 1649-035 Lisboa.

Leonor Carvalho, Serviço de Medicina 1. Hospital de Santa Maria. Centro Hospitalar de Lisboa Norte. Lisboa.

M.D., Chefe de Serviço de Medicina Interna, Serviço de Medicina 1, Centro Hospitalar de Lisboa Norte, Lisboa, Portugal

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Published

2018-06-29

How to Cite

1.
Barbosa JR, Martins AS, Ruivo J, Carvalho L. Fever and Rash: Revisiting Measles. Acta Med Port [Internet]. 2018 Jun. 29 [cited 2024 Nov. 22];31(6):341-5. Available from: https://actamedicaportuguesa.com/revista/index.php/amp/article/view/9776

Issue

Section

Case Report