Measles Overview and Transmission

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Questions and Answers

What is the primary causative agent of measles?

  • Rhinovirus
  • Herpesvirus
  • Orthomyxovirus
  • Paramyxovirus (correct)

What period during the year is measles most likely to occur?

  • Early autumn
  • Late winter and spring (correct)
  • Summer and fall
  • All year round

Which symptom is considered pathognomonic for measles?

  • Koplik spots (correct)
  • Skin rash
  • Cough
  • Fever

What is the period of communicability for measles?

<p>4 days before to 4 days after rash onset (C)</p> Signup and view all the answers

What is the average incubation period from exposure to rash onset for measles?

<p>11 to 12 days (B)</p> Signup and view all the answers

Flashcards

What is Measles?

Measles is a highly contagious viral disease that spreads through respiratory droplets. It is a serious illness that can lead to complications like pneumonia, encephalitis, and death.

What type of virus causes measles?

The measles virus is a single-stranded RNA virus that is part of the paramyxovirus family. There is only one type of measles virus, making it distinct and easily identified.

How is measles transmitted?

Measles primarily spreads through large respiratory droplets expelled when an infected person coughs or sneezes. It can also spread through the air when these droplets become aerosolized.

When is measles most contagious?

Measles is most contagious in the days before and after the rash appears. This means an infected person can spread the virus even before they show symptoms.

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What is the incubation period of measles?

The incubation period of measles is the time between exposure to the virus and the first symptoms. It typically takes around 11-12 days for fever to appear, and about 14 days for the rash to develop.

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Study Notes

Measles Overview

  • Measles is an acute, viral, infectious disease, vaccine preventable
  • Measles was nearly universal in childhood, with over 90% of individuals contracting it before age 15
  • Indigenous transmission of measles has been eliminated in many regions

Causative Agent

  • Measles is caused by a paramyxovirus, a single-stranded RNA virus
  • The virus is inactivated by heat, sunlight, acidic pH, and chemicals like ether, and trypsin

Reservoir

  • The reservoir for measles is only human cases
  • No animal reservoirs or carriers exist, and subclinical infections do not transmit the virus

Transmission

  • Transmission occurs via large respiratory droplets and airborne transmission of aerosolized droplets in confined spaces

Temporal Pattern

  • Measles primarily affects people in late winter and spring

Communicability Period

  • Measles is contagious from 4 days before rash onset to 4 days after rash onset

Incubation Period

  • The incubation period, from exposure to fever, averages 11-12 days
  • From exposure to rash onset, the average is 14 days, ranging from 7 to 21 days

Pathogenesis, Clinical Features, and Complications

  • Prodromal Stage: lasts 2 to 4 days, characterized by fever, cough, and conjunctivitis
  • Koplik Spots: punctate blue-white spots on the bright red buccal mucosa; considered a diagnostic sign (pathognomonic)

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