RT Journal Article
SR Electronic
T1 Pneumomediastinum complicating adult-onset measles
JF Clinical Medicine
JO Clin Med
FD Royal College of Physicians
SP 403
OP 405
DO 10.7861/clinmedicine.18-5-403
VO 18
IS 5
A1 Azara Janmohamed
A1 Aula Abbara
A1 Rohma Ghani
A1 Anne Kinderlerer
A1 Thava Sritharan
A1 James Hatcher
YR 2018
UL http://www.rcpjournals.org/content/18/5/403.abstract
AB 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.