Measles is a highly infectious illness caused by the rubeola virus. It’s often recognized by a characteristic skin rash that covers the entire body. However, before the rash appears, early symptoms may include high fever, cough, runny nose, red and watery eyes (conjunctivitis), and tiny white spots inside the mouth.

Measles spreads through the air when an infected person coughs or sneezes. It is so contagious that if one person has it, up to 90% of the people close to that person who are not immune will also become infected.

Measles

Despite being a serious but preventable disease, measles can sometimes lead to severe complications, especially in children, such as pneumonia, encephalitis (swelling of the brain), and death. Vaccination is the most effective way to prevent measles. The measles vaccine is typically combined with mumps and rubella vaccines in a shot called the MMR (measles, mumps, and rubella) vaccine.

Causes of Measles

Measles is caused by the measles virus. This highly contagious virus is spread through the air when an infected person coughs or sneezes. You can also get infected by touching a surface that has the virus on it and then touching your mouth, nose, or eyes.

The virus multiplies in the throat and lungs initially before spreading throughout the body. Once infected, the immune system begins its fight, causing the characteristic symptoms of measles like fever, cough, runny nose, conjunctivitis, and a rash covering the body.

It’s important to understand that measles is a preventable disease. Immunization through the measles, mumps, and rubella (MMR) vaccine is the most effective way to prevent infection. However, measles can still occur in people who have not been vaccinated or in those who have not received their complete set of immunizations.

Risk Factors of Measles

Measles is a highly infectious disease caused by the measles virus. The following are the risk factors associated with measles:

1. Vaccination Status: Perhaps the most significant risk factor is not being vaccinated. The MMR (measles, mumps, rubella) vaccine is a safe and effective way to prevent measles.

2. Age: While measles can affect people at any age, it’s more common in children under the age of 5 or adults over the age of 20.

3. Travel and Exposure: Traveling to areas where measles is endemic or there’s an outbreak increases the risk of contracting the disease. Similarly, if you’re exposed to an infected person, you’re at high risk.

4. Vitamin A deficiency: Low levels of vitamin A can increase the severity of the measles infection and the person’s ability to fight off the disease.

5. Immune system disorders: Those with weakened immune systems due to HIV/AIDS, leukemia, or high-dose steroid treatments, for example, are at higher risk.

6. Malnutrition: Individuals who are malnourished, particularly children, are at a higher risk of measles and could experience severe complications.

Remember that measles is preventable through vaccination, and the best way to reduce your risk is to ensure your immunizations are up to date.

Signs and Symptoms of Measles

Measles is a highly contagious infectious disease caused by the measles virus. Symptoms of measles typically start around 7 to 14 days after a person is exposed to the virus. Here’s a list of its most common signs and symptoms:

1. High fever: Often the first symptom is a high fever, which begins about 10 to 12 days after exposure and lasts 4 to 7 days.

2. Cough: A persistent dry cough is another common symptom, which generally develops in the initial stages of the illness.

3. Runny nose: This is also known as rhinorrhea. During the initial infection period, the person may experience a runny or stuffy nose.

4. Red, watery eyes: Medical terminology calls this conjunctivitis or “pink eye.”

5. Koplik’s spots: These are tiny white spots found inside the mouth or throat. They usually appear two or three days after the initial symptoms but can be as early as the same day.

6. Red, blotchy skin rash: About 3 to 5 days after the first symptoms, a red, blotchy rash usually appears on the face at the hairline and spreads downward to cover the entire body.

7. General fatigue: Feeling unusually fatigued or weak is also a common symptom.

8. Light sensitivity: The infected person may experience sensitivity to light.

9. Body aches and pains: General body aches and sometimes severe muscle pains.

Remember, anyone who hasn’t been vaccinated against measles can get the disease. Therefore, it’s essential to get vaccinated to prevent measles. Also, if you or someone around you show these symptoms, please consult with a healthcare provider immediately.

Diagnosis Measles

Measles is a highly contagious infectious disease caused by the measles virus. Symptoms usually develop 10–12 days after exposure to an infected person and last 7–10 days. Initial symptoms typically include high fever, often greater than 40 °C (104.0 °F), cough, runny nose, and inflamed eyes. Small white spots known as Koplik’s spots may appear inside the mouth two or three days after the start of symptoms.

Several days later, a red, flat rash often starts on the face and then spreads to the rest of the body. In severe cases, measles can cause serious complications such as pneumonia (infection of the lungs), encephalitis (swelling of the brain), and a potentially fatal condition called subacute sclerosing panencephalitis (a rare but fatal brain disorder).

Measles is an airborne disease which spreads easily through the coughs and sneezes of those infected. It may also be spread through contact with saliva or nasal secretions. The measles virus can live for up to two hours in an airspace where the infected person coughed or sneezed.

Diagnosis of measles is usually confirmed with a blood test. There’s no specific antiviral treatment for measles. Prevention by vaccination is incredibly effective.

Treatment of Measles

Measles can’t be treated with any specific antiviral medicines. Treatment mainly focuses on relieving symptoms and strengthening the body’s immune response. Here’s a typical strategy:

1. Rest and Hydration: Like any viral illness, plenty of rest, proper nutrition, and hydration are fundamental to help the body recuperate from the illness.

2. Fever Reducers: As fever is a common symptom, over-the-counter (OTC) medications such as ibuprofen or acetaminophen can be recommended to control the fever. Aspirin should never be given to children due to the risk of Reye’s syndrome.

3. Antibiotics: Antibiotics can’t treat the measles virus itself, but they can be prescribed if a bacterial infection, such as an ear infection or pneumonia, develops as a complication of measles.

4. Vitamin A: Vitamin A supplements may be prescribed, especially in severe cases or in patients with nutritional deficiencies. They can help protect against severe complications and death from measles by boosting the body’s immune response to the infection.

5. Vaccination: The leading preventive method for measles is vaccination with the MMR (measles, mumps, and rubella) vaccine. Two doses are usually given, one at 12 to 15 months and one at 4 to 6 years. In many countries, measles vaccination is routine.

Remember to consult with a healthcare professional for an accurate diagnosis and treatment. If complications such as pneumonia or encephalitis occur, hospitalization may be necessary.

Medications commonly used for Measles

Measles is generally a self-limiting disease that is handled by the body’s immune system. There isn’t a specific antiviral treatment for measles. However, some medicines or interventions are commonly used to help manage symptoms and prevent complications. They include:

1. Fever reducers: Over-the-counter fever reducers such as acetaminophen (Tylenol), ibuprofen (Advil), or naproxen (Aleve) might be prescribed to control the fever that accompanies measles.

2. Antibiotics: Measles can make the body more susceptible to bacterial infections, such as ear infections or pneumonia. If such complications occur, doctors may prescribe antibiotics.

3. Vitamin A: High-dose vitamin A supplements can help to reduce the severity and duration of measles. They are typically given to children who are diagnosed with the disease.

4. Intravenous fluids: If the patient is dehydrated, they may be given fluids intravenously.

5. Rest and hydration: These aren’t medications, but plenty of rest and drinking fluids are important for recovery.

Note: The most effective way to prevent measles is through vaccination with the MMR (measles, mumps, rubella) vaccine. If someone has been exposed to the virus and hasn’t been vaccinated, an immunoglobulin injection can be given within six days of exposure to prevent or lessen the effects of the disease.

Prevention of Measles

Measles is a highly contagious disease that can be prevented through the following methods:

1. Vaccination: The best and most effective method to prevent measles is vaccination. The measles-mumps-rubella (MMR) vaccine is highly effective in preventing measles. It’s usually given to children in two doses, first at 12 to 15 months of age, and second at 4 to 6 years of age.

Measles

2. Boosting Immune System: Eating a healthy and balanced diet, getting plenty of sleep, maintaining hygiene, and regular exercise can also help the body naturally fight off measles and other diseases.

3. Avoid Close Contact: If you know someone has measles, avoid close contact with them, particularly if you have not been immunized or are at a high risk of getting the infection (such as infants or pregnant women).

4. Quarantine: Measles is extremely contagious. If a person is infected, they should remain isolated at home to prevent spreading the virus to others.

5. Normal Hygiene Practices: Regular hand washing, covering mouth and nose while sneezing or coughing, and avoiding sharing drinks or utensils can help prevent the spread of the measles virus.

6. Immunoglobulin therapy: For those exposed to measles who cannot be vaccinated, such as infants, pregnant women, or people with compromised immune systems, immediate treatment with immunoglobulin (a treatment made from donated blood) can offer short-term protection.

Remember, consult your healthcare provider for personalized advice, especially when related to vaccination schedules and if you’re at high risk.

FAQ’s about Measles

1. What is measles?
Measles is a highly infectious viral illness that can lead to serious health complications, including infections of the lungs and brain.

2. How is Measles transmitted?
Measles is spread through the air by respiratory droplets produced from coughing or sneezing. It’s so contagious that if one person has it, 90% of the people close to that person who are not immune will also become infected.

3. What are the symptoms of measles?
The symptoms of measles generally appear about seven to 14 days after a person is infected and may include high fever, cough, runny nose, red and watery eyes, tiny white spots inside the mouth, and a red, flat rash which usually starts on the face.

4. Can adults get measles?
Yes. Although it’s often associated with childhood, measles can affect people at any age. It can be especially serious in babies and adults.

5. How long does a person remain contagious?
A person with measles is contagious from 4 days before through 4 days after the rash appears.

6. Is there a treatment for measles?
There is no specific antiviral treatment for measles. Treatment includes rest, hydration, and taking medications to reduce fever.

7. Is measles preventable?
Yes. The best way to prevent measles is through vaccination. Measles, mumps, rubella (MMR) vaccine provides long-lasting protection against all strains of measles.

8. Is the measles vaccination safe?
Yes, the MMR vaccine is very safe and effective. The vaccine has been in use for over 40 years. Common side effects from the vaccine are generally mild.

9. Can a person get measles more than once?
Usually not. After an episode of measles, a person becomes immune for life.

10. What are the complications of measles?
Complications of measles can include diarrhea, ear infections, pneumonia, encephalitis (brain inflammation), and a rare but fatal degenerative disease of the central nervous system called subacute sclerosing panencephalitis (SSPE).

These are just some FAQs about measles. It’s important to consult with a healthcare professional for accurate information.

Useful links

Measles is a highly contagious viral disease that spreads through the air by respiratory droplets produced from coughing or sneezing. This disease is so contagious that if one person has it, up to 90% of the people close to that person who are not immune will also become infected. It mainly causes fever, rash, cough, conjunctivitis, and can be very serious or fatal for small children.

For detailed and scholarly insights about measles, the below-listed journal links would be very informative.

  1. https://pubmed.ncbi.nlm.nih.gov/28673424/
  2. https://pubmed.ncbi.nlm.nih.gov/36440505/

Please note that access to some of these articles may require a subscription or purchase. Always ensure to use these materials in compliance with any terms and conditions of their respective publishers.

Complications of Measles

Measles is a highly infectious viral illness that can cause severe health complications, including:

1. Pneumonia: Measles may lead to a serious infection of the lungs causing pneumonia, which is one of the most common causes of death in children with measles.

2. Ear Infections: Some people with measles may get an ear infection, which can result in permanent hearing loss.

3. Bronchitis, Laryngitis or Croup: Measles can lead to serious respiratory disorders like bronchitis and laryngitis.

4. Encephalitis: A potentially deadly health complication, encephalitis is the swelling of brain tissues, which can lead to permanent brain damage. Approximately 1 in every 1,000 cases of measles can develop encephalitis.

5. Miscarriage or Premature Birth: Pregnant women who contract measles may give birth prematurely or have a baby with low birthweight, or it might result in miscarriage.

6. Subacute sclerosing panencephalitis (SSPE): A very rare, but fatal disease of the central nervous system that generally develops 7-10 years after a person had measles, even though they seemed to have fully recovered.

7. Vitamin A Deficiency: Measles can also deplete the body’s supply of Vitamin A causing eye problems and weakening the immune system.

These complications are more common among children under the age of 5, adults over the age of 20, pregnant women, and individuals with weakened immune systems. It’s crucial to get vaccinated to avoid the disease and its complications.

Home remedies of Measles

Measles is a highly infectious virus that needs to be treated immediately to prevent the spread of the infection. You must see a doctor if you suspect you have measles, as only they can give the appropriate advice and medical treatment.

However, some home remedies may help to manage symptoms and discomfort while you’re observing the medical treatment. These include:

1. Hydration: Drinking plenty of fluids, such as fruit juice, soup or water can prevent dehydration and help the body fight off the infection.

2. Rest: The body can use a lot of energy when it’s fighting off an infection, so resting and getting good night’s sleep can help to boost the immune system and speed up recovery.

3. A Cool Environment: High temperatures can make symptoms like a fever and a rash worse, so try to keep the room at a cool temperature. Use a damp cloth to help cool down if needed.

4. Nourishing Foods: Eating nourishing foods can help to increase immunity and fight the infection. Have fruits and vegetables rich in vitamin A such as carrots, oranges, mangoes, and spinach.

5. Maintain good hygiene: Washing hands frequently with soap and water can prevent the spread of the virus.

6. Herbal remedies: Some traditional home remedies, such as the use of licorice, turmeric, and barley water, are thought by some to ease symptoms, but their efficacy is not scientifically proven.

Again, these remedies should be used in conjunction with the treatment plan provided by your healthcare provider. Measles is a serious disease that requires medical attention, and home remedies alone are not sufficient to treat it. Always consult with your healthcare provider for appropriate treatment.

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Infectious Diseases,

Last Update: January 4, 2024