Image in medicine
Measles in a young adult
Sarampión en un adulto joven
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A native of Italy who had travelled to Naples and Bordeaux 2 weeks earlier. His immunization schedule only included one dose of the MMR vaccine.</p><p id="par0010" class="elsevierStylePara elsevierViewall">A confluent erythematous maculopapular rash, predominantly on the face and trunk with palmoplantar involvement was observed on examination (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>a,b,c). The presence of a significant pharyngeal enanthem with small clustered whitish macules, corresponding to Koplik spots, was noteworthy (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>a), which disappeared 24 h later (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>b). Chest C-ray showed no abnormalities. Measles was diagnosed (confirmed by IgM serology and nasopharyngeal PCR). It progressed favourably with symptomatic treatment.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">Due to migratory and anti-vaccine movements, more and more measles cases are reported in Europe, including Spain, with 225 cases reported in 2018. Differential diagnoses include rubella, Henoch-Schönlein purpura, Kawasaki disease, and toxicoderma. It must be diagnosed early in order to reduce transmissibility and avoid complications. Koplik’s spots appear briefly, days before the rash, and are pathognomonic for the disease.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Funding</span><p id="par0020" class="elsevierStylePara elsevierViewall">The authors declare that they have not received funding to carry out this study.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:1 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Funding" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Fernandez-Nieto D, Ortega-Quijano D, Jimenez-Cauhe J, Diaz-Garcia N. Sarampión en un adulto joven. 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