A Case Series of Adult Measles from a Tertiary Care Hospital in North India

Suresh Selvam Department of Internal Medicine, Post Graduate Institute of Medical Education and Research, Chandigarh, India;

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Deba Prasad Dhibar Department of Internal Medicine, Post Graduate Institute of Medical Education and Research, Chandigarh, India;

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Harpreet Singh Department of Internal Medicine, Post Graduate Institute of Medical Education and Research, Chandigarh, India;

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Vikas Suri Department of Internal Medicine, Post Graduate Institute of Medical Education and Research, Chandigarh, India;

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Vanita Sharma Department of Virology, Post Graduate Institute of Medical Education and Research, Chandigarh, India;

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Kapil Goyal Department of Virology, Post Graduate Institute of Medical Education and Research, Chandigarh, India;

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Srinivasan Selvamani World Health Organization Office, New Delhi, India

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Mini P. Singh Department of Virology, Post Graduate Institute of Medical Education and Research, Chandigarh, India;

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Ashish Bhalla Department of Internal Medicine, Post Graduate Institute of Medical Education and Research, Chandigarh, India;

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ABSTRACT.

Measles or rubeola is caused by an enveloped single-stranded RNA virus belonging to the genus Morbillivirus in the Paramyxoviridae family. Here, we present five adult measles patients. The laboratory confirmation of measles by serology/polymerase chain reaction (PCR) was carried out in the National Measles Laboratory as per WHO standard operating procedure at the Department of Virology, Post Graduate Institute of Medical Education and Research, Chandigarh, India. All of the patients presented with prodromal fever with rash. Diffuse erythematous maculopapular rash in a centrifugal manner was present. Measles was diagnosed based on clinical examination findings and positive serology or PCR reports from throat swab specimens. Two patients had a history of exposure; other patients denied any exposure. All of the patients were admitted and managed conservatively in the isolation ward during the period of infectivity.

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Author Notes

Current contact information: Suresh Selvam, Deba Prasad Dhibhar, Harpreet Singh, Vikas Suri, and Ashish Bhalla, Department of Internal Medicine, Post Graduate Institute of Medical Education and Research, Chandigarh, India, E-mails: sureshselvam92@gmail.com, drdebar_prasad@yahoo.co.in, hs.30.singh@gmail.com, surivikas9479@gmail.com, and bhalla.chd@gmail.com. Vanita Sharma, Kapil Goyal, and Mini P. Singh, Department of Virology, Post Graduate Institute of Medical Education and Research, Chandigarh, India, E-mails: vanitasharma91@gmail.com, kapilgoyalpgi@gmail.com, and minipsingh@gmail.com. Srinivasan Selvamani, World Health Organization Office, New Delhi, India, E-mail: dr.srinivasan.selvamani@gmail.com.

Address correspondence to Harpreet Singh, Division of Clinical Infectious Diseases, Department of Internal Medicine, 4th Floor Nehru Hospital, Post Graduate Institute of Medical Education and Research, Sector 12, Chandigarh, India, 160012. E-mail: hs.30.singh@gmail.com
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