Measles, Mumps, and Rubella
Centers for Disease Control and Prevention
National Center for Immunization and Respiratory Diseases
Measles, Mumps, and Rubella
Chapters 13, 15, and 20
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1 Disease
Measles
Paramyxovirus
? Nasopharynx is primary site of infection
Incubation period is 10?12 days
Prodrome is 2?4 days
? 3 Cs ? cough, coryza, and conjunctivitis ? Stepwise increase in fever up to 103?F?105?F ? Koplik spots
Rash occurs 2?4 days after prodrome, 14 days after exposure, and persists 5?6 days
? Begins on face and upper neck ? Maculopapular, becomes confluent ? Fades in order of appearance
Measles Complications
Complication Diarrhea Otitis media Pneumonia Encephalitis Seizures Death
Rate 8% 7% 6% 0.1% 0.6?0.7% 0.2%
Mumps
Paramyxovirus
Nasopharynx and regional lymph nodes are primary sites of infection
Incubation period is 12?25 days Prodrome is nonspecific
Myalgia Anorexia Malaise Headache Low-grade fever
Parotitis in 9%?94%, typically occurs within 16?18 days
Prevaccine era: 15%?27% of infections were asymptomatic
Mumps Complications
Complication Orchititis
Pancreatitis Unilateral deafness Death
Rate 12%?66% in postpubertal males (prevaccine) 3%?10% (postvaccine) 3.5% (prevaccine) 1/20,000 (prevaccine) 2/10,000 from 1966?1971
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