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Measles mimicking HIV seroconversion syndrome: a case report
Mahua T Chatterjee1, Margaret Coleman, Gary Brook
1Central Middlesex Hospital, Avery Jones Postgraduate Medical Centre, Department of Medicine, Acton Lane, Park Royal, London NW10 7NS, UK. mahua142003@yahoo.co.uk.
Journal of Medical Case Reports
|February 26, 2010
Summary
Measles is increasingly diagnosed in the UK. This case highlights an atypical presentation of measles in an adult woman, emphasizing its importance in fever and rash differential diagnoses.
Area of Science:
- Infectious Diseases
- Clinical Medicine
- Public Health
Background:
- Measles incidence is rising in the United Kingdom.
- Measles is a highly infectious disease requiring hospital isolation.
- It presents a diagnostic challenge, especially with atypical symptoms.
Purpose of the Study:
- To report a unique case of measles presenting with atypical symptoms.
- To highlight the importance of considering measles in adult differential diagnoses.
- To underscore the rising incidence of measles in the UK.
Main Methods:
- A case report of a 28-year-old woman presenting with fever, rash, and genital ulceration.
- Differential diagnoses included HIV seroconversion syndrome with Pneumocystis pneumonia.
- Treatment involved supportive care, antibiotics, steroids, and antifungals.
Main Results:
- The patient experienced hypoxia and required noninvasive ventilation.
- Human immunodeficiency virus tests were negative.
- Measles was confirmed serologically, with symptoms resolving within 10 days.
Conclusions:
- The patient's measles presentation was atypical.
- Measles should be considered in the differential diagnosis for patients with fever and rash, given its rising incidence.
- Early recognition and isolation are crucial for managing measles outbreaks.
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