measles
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| measles [2026/09/02 02:40] – [patients at risk or who may have measles in Australia] wh | measles [2026/09/02 02:40] (current) – wh | ||
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| </ | </ | ||
| - | =====introduction===== | + | =====Introduction===== |
| *also called rubeola | *also called rubeola | ||
| *measles virus (MV), a negative-sense enveloped RNA virus, is a member of the Morbillivirus genus in the Paramyxoviridae family. | *measles virus (MV), a negative-sense enveloped RNA virus, is a member of the Morbillivirus genus in the Paramyxoviridae family. | ||
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| - | =====patients | + | =====Patients |
| ***those at risk (born after 1966 without vaccination): | ***those at risk (born after 1966 without vaccination): | ||
| *children or adults born during or after 1966 who do not have documented evidence of receiving two doses of a measles containing vaccine or documented evidence of laboratory confirmed measles are considered to be highly susceptible to measles. | *children or adults born during or after 1966 who do not have documented evidence of receiving two doses of a measles containing vaccine or documented evidence of laboratory confirmed measles are considered to be highly susceptible to measles. | ||
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| *generalized lymphadenopathy, | *generalized lymphadenopathy, | ||
| - | =====atypical | + | =====Atypical |
| *occurs in individuals who were vaccinated with the original killed-virus measles vaccine between 1963 and 1967 and who have incomplete immunity | *occurs in individuals who were vaccinated with the original killed-virus measles vaccine between 1963 and 1967 and who have incomplete immunity | ||
| *a mild or subclinical prodrome of fever, headache, abdominal pain, and myalgias precedes a rash that begins on the hands and feet and spreads centripetally. The eruption is accentuated in the skin folds and may be macular, vesicular, petechial, or urticarial. Koplik spots are common and last longer - usually 5-7 days; | *a mild or subclinical prodrome of fever, headache, abdominal pain, and myalgias precedes a rash that begins on the hands and feet and spreads centripetally. The eruption is accentuated in the skin folds and may be macular, vesicular, petechial, or urticarial. Koplik spots are common and last longer - usually 5-7 days; | ||
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| *if patient is well enough may be discharged after d/w ID but to stay at home pending confirmation | *if patient is well enough may be discharged after d/w ID but to stay at home pending confirmation | ||
| - | =====post-exposure prophylaxis===== | + | =====Post-exposure prophylaxis===== |
| *[[http:// | *[[http:// | ||
| *[[http:// | *[[http:// | ||
measles.txt · Last modified: 2026/09/02 02:40 by wh