title: Measles in adults during an outbreak in Spain: hospitalization associated with gastrointestinal and liver involvement.
abstract: BACKGROUND
  Measles is a viral infection that affects skin and other organs and systems.
  
  
  METHODS
  We collected retrospectively the characteristics of 147 consecutive adult patients with measles during an outbreak in Spain (January-June 2012).
  
  
  RESULTS
  They complained of nausea, vomiting and diarrhea in 48.3, 39.5 and 27.2 %, respectively. The liver was involved in 67.5 % of patients. Thirty-eight patients (25.9 %) were admitted to the hospital. Associated with hospital admission were dyspnea [adjusted odds ratio (aOR): 49.8], abnormal alanine aminotransferase (aOR: 29), odynophagia (aOR: 12.5) and vomiting (aOR: 58).
  
  
  CONCLUSIONS
  Gastrointestinal and liver involvement in adults with measles is common.
authors: Infectious Diseases Unit, Hospital General Universitario de Alicante, 03010, Alicante, Spain.
authors: Esperanza
authors: E
authors: Merino
authors: José M
authors: JM
authors: Ramos
authors: Sergio
authors: S
authors: Reus
authors: Vicente
authors: V
authors: Boix
authors: Alina
authors: A
authors: Zurita
authors: Elizabeth
authors: E
authors: Alzate
authors: Carmen
authors: C
authors: Giner
authors: Joaquín
authors: J
authors: Portilla
mesh_terms: D000293:Adolescent; D000328:Adult; D004196:Disease Outbreaks; D005260:Female; D005767:Gastrointestinal Diseases / Q000209:etiology* / Q000473:pathology; D006760:Hospitalization / Q000706:statistics & numerical data; D006801:Humans; D015994:Incidence; D008107:Liver Diseases / Q000209:etiology* / Q000473:pathology; D008297:Male; D008457:Measles / Q000453:epidemiology*; D008875:Middle Aged; D011247:Pregnancy; D012189:Retrospective Studies; D013030:Spain / Q000453:epidemiology; D055815:Young Adult