title: What is the cause of a rash after measles-mumps-rubella vaccination?
abstract: Surveillance and laboratory confirmation of measles will increase in importance as Australia implements enhanced measles control. We describe a 17-month-old child with fever and rash after measles-mumps-rubella vaccination. Detection of vaccine-strain measles virus in his urine by polymerase chain reaction confirmed the diagnosis of a vaccine reaction rather than wild-type measles. We propose that measles virus should be sought and identified as vaccine or wild-type virus when the relationship between vaccination and measles-like illness is uncertain.
authors.affiliation: Victorian Infectious Diseases Reference Laboratory, North West Health Care Network, Melbourne, VIC.
authors.forename: G A
authors.initials: GA
authors.lastname: Jenkin
authors.forename: D
authors.initials: D
authors.lastname: Chibo
authors.forename: H A
authors.initials: HA
authors.lastname: Kelly
authors.forename: P A
authors.initials: PA
authors.lastname: Lynch
authors.forename: M G
authors.initials: MG
authors.lastname: Catton
mesh_terms: D003937:Diagnosis, Differential; D005076:Exanthema / Q000209:etiology* / Q000821:virology; D005334:Fever / Q000209:etiology; D006801:Humans; D007223:Infant; D008297:Male; D008457:Measles / Q000150:complications / Q000175:diagnosis* / Q000209:etiology*; D008458:Measles Vaccine / Q000009:adverse effects*; D009108:Mumps Vaccine / Q000009:adverse effects*; D012411:Rubella Vaccine / Q000009:adverse effects*; D013997:Time Factors
chemical_list: D008458:Measles Vaccine; D009108:Mumps Vaccine; D012411:Rubella Vaccine