A re-emerging infection?
A 38-year-old female with a two-week history of amoxicillin use for fever, cough, and coryza presented with two days of erythematous chest macules. Despite discontinuation of the antibiotic, her rash continued; measles was diagnosed with IgM titers. Three weeks previously she had returned from China. She had received only one vaccination despite travel to this measles-endemic area. Vaccination and herd immunity have reduced the measles prevalence in America by more than 99%; travel, foreign adoption, and refusal of vaccination have, however, increased the risk.
Broy
Charles
C
Department of Infectious Disease, Madigan Army Medical Center, Tacoma, WA, USA. charles.broy@yahoo.com
Williamson
Nicole
N
Morris
Joseph
J
D000328:Adult; D002681:China; D003937:Diagnosis, Differential; D005076:Exanthema / Q000175:diagnosis*; D005260:Female; D006801:Humans; D007075:Immunoglobulin M; D032541:Mass Vaccination; D008457:Measles / Q000175:diagnosis* / Q000276:immunology*; D008458:Measles Vaccine / Q000276:immunology*; D022542:Measles-Mumps-Rubella Vaccine; D014195:Travel; D014481:United States
D007075:Immunoglobulin M; D008458:Measles Vaccine; D022542:Measles-Mumps-Rubella Vaccine