Measles and German Measles
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| Measles and German Measles |
Measles ( Rubeola )
Agent : rubeola measles virus .
Source : respiratory secretions, blood and urine of infected person .
Transmission : by direct contact with infected person .
Passive immunity : birth to 1 year of age if mother is immune prior to pregnancy .
Incubation period : 5-15 days .
Common age : school age in spring .
Period of communicability : 4 days before to 5 days after rash appear .
Clinical manifestations :
- Catarrhal stage : fever, malaise, cough, conjunctivitis, koplik's spots .- Rash : Appear 2-4 days after onset of catarrhal stages begins in face and gradually spread downward .
Treatment :
- Vitamin A supplement .- Bed rest .
- Antipyretics .
- Antibiotics to prevent secondary bacterial infections .
- Calamine lotion to minimize itching .
Rubella ( German measles )
Agent : rubella virus .
Source : respiratory secretions, blood and urine of infected person .
Transmission : by direct and indirect contact with infected person .
Incubation period : 14-21 days .
Period of communicability : 7 days before to 5 days after rashes appear .
Clinical manifestations :
- catarrhal stage : headache , anorexia , low grade fever , sore throat , conjunctivitis and malaise for 1-5 days and subside1 day after appearance of rashes .- rash : firstly in face then down ward to neck , arms , trunk and legs and disappear the same way by the 2nd or 3rd day .
Treatment :
no treatment necessary other than antipyretics and analgesics .
complications : greatest danger is teratogenic effect on fetus ( cataract , CHD , and deafness )
READ MORE:
Acute Rheumatic Fever
Thalassemia major " Cooley's anemia "
Esophageal Atresia with Tracheoesophageal Fistula
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