Measles differential diagnosis
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Vidit Bhargava, M.B.B.S [2]
Overview
Measles is a disease characterized by the classical clinical triad of cough, coryza and conjunctivitis. In most cases the presentation is classical and the diagnosis can be sufficiently made clinically. However, in a few cases certain other diagnostic possibilities must be kept in mind. These include other viral exanthams such as erythema infectiosum, other maculopapular rashes etc. Also, in areas where killed vaccines are used, the probability of atypical measles with fever, conjunctivitis, pneumonitis and rash must be kept in mind. It is worthwhile to consider Kawasaki's disease, rubella, dengue, systemic lupus erythematosus and serum sickness while considering the diagnosis of measles.
Differential diagnosis
Following is a list of most commonly confused conditions with measles:
- Viral fevers leading to exanthams
- Drug eruptions and other hypersensitivity manifestations
- Erythema infectiosum (Fifth Disease) caused by Parvovirus B19
- Enteroviral Infections
- Infectious Mononucleosis
- Kawasaki Disease
- Meningococcal meningitis presenting with spots on lower back and chest
- Scarlet Fever
- Roseola infantum
- Rocky Mountain Spotted Fever
- Rubella
- Toxic Shock Syndrome