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Vaginal mucositis in measles.

I A Chamales¹, P G Napolitano, C Rosa

¹Department of Obstetrics and Gynecology William Beaumont Army Medical Center, El Passo, TX, USA.

Infectious Diseases in Obstetrics and Gynecology

|January 1, 1995

Summary

Vaginal mucositis is an uncommon measles symptom that can resemble toxic shock syndrome. This finding is based on two adult female cases during a measles epidemic.

Area of Science:

Infectious Diseases
Gynecology
Pediatrics

Background:

Measles (rubeola) is typically a childhood illness and rarely seen in adults.
Vaginal mucositis is an uncommon presentation associated with measles.

Purpose of the Study:

To describe an unusual manifestation of measles in adult women.
To highlight the potential for measles to mimic other serious conditions like toxic shock syndrome.

Main Methods:

Case report of two adult female patients during a measles epidemic.
Clinical presentation, physical examination, and laboratory investigations were analyzed.
Diagnostic workup included cultures and serological testing for various infectious agents and toxins.

Main Results:

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Both patients presented with measles symptoms, including fever, rash, and malaise.
Marked vaginal inflammation and tenderness were observed, leading to a preliminary diagnosis of toxic shock syndrome.
Cultures and serological tests for other infections were negative, while measles antibody titers confirmed recent measles infection.

Conclusions:

Vaginal mucositis can be an atypical manifestation of measles in adults.
This presentation can be mistaken for toxic shock syndrome, necessitating a broad differential diagnosis.