Understanding Measles: A Comprehensive Patient Guide

Essential Information About Prevention, Symptoms, and Treatment

Pediatrics

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Last updated: Mar 24, 2025

What is Measles?

Measles is a highly contagious viral infection that primarily affects the respiratory system and can cause a characteristic skin rash. The virus belongs to the paramyxovirus family and spreads through airborne transmission.

Key Symptoms

  • Initial symptoms (3-5 days):

    • High fever (often >104°F/40°C)
    • Persistent cough
    • Runny nose
    • Red, watery eyes (conjunctivitis)
    • Koplik's spots (white spots in mouth)
  • Rash phase:

    • Red, blotchy rash starting on face
    • Spreads downward to chest, arms, and legs
    • Lasts approximately 5-6 days

Transmission

  • Highly infectious virus spread through:
    • Respiratory droplets
    • Direct contact with infected secretions
    • Airborne transmission
  • Contagious period: 4 days before to 4 days after rash appears

Complications

Possible complications include:

  • Ear infections
  • Pneumonia
  • Encephalitis (brain inflammation)
  • Pregnancy complications
  • Subacute sclerosing panencephalitis (rare)

Prevention

  1. Vaccination

    • MMR vaccine recommended for all children
    • First dose at 12-15 months
    • Second dose at 4-6 years
  2. Isolation

    • Stay home when infected
    • Avoid contact with unvaccinated individuals

Treatment

  • No specific antiviral treatment
  • Supportive care includes:
    • Rest
    • Hydration
    • Fever reduction
    • Vitamin A supplementation if needed

When to Seek Medical Care

Contact healthcare provider if:

  • Exposure to measles occurs
  • Symptoms develop
  • Complications arise
  • Uncertain about vaccination status

Special Considerations

  • Pregnant women should avoid exposure
  • Immunocompromised individuals at higher risk
  • International travel may require additional vaccination

Prevention in Communities

  • Maintain high vaccination rates
  • Report cases to public health authorities
  • Follow isolation guidelines when infected

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