TY - JOUR T1 - Pneumomediastinum complicating adult-onset measles JF - Clinical Medicine JO - Clin Med SP - 403 LP - 405 DO - 10.7861/clinmedicine.18-5-403 VL - 18 IS - 5 AU - Azara Janmohamed AU - Aula Abbara AU - Rohma Ghani AU - Anne Kinderlerer AU - Thava Sritharan AU - James Hatcher Y1 - 2018/10/01 UR - http://www.rcpjournals.org/content/18/5/403.abstract N2 - Adult-onset measles is rare in the UK, particularly in patients with a complete vaccination history.We present a case of a UK-born patient who received all childhood vaccinations, had no history of recent travel or unwell contacts who was diagnosed with measles complicated by pneumomediastinum. This case highlights the need to consider measles in any patient presenting with a constellation of a macular rash, fever and conjunctivitis, regardless of vaccination status. The nature of the rash can provide an important clue to the diagnosis. Liaison with infection specialists facilitates early diagnosis, allowing for appropriate initial investigations, improving clinical management and early infection control precautions being instituted. ER -