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Measles in adults during an outbreak in Spain: hospitalization associated with gastrointestinal and liver involvement

Esperanza Merino1, José M Ramos, Sergio Reus

  • 1Infectious Diseases Unit, Hospital General Universitario de Alicante, 03010, Alicante, Spain.

Infection
|June 26, 2014
PubMed
Abstract

Insights

Measles outbreaks in adults can cause significant gastrointestinal and liver issues. This study highlights common symptoms and factors associated with hospital admission during a Spanish measles outbreak.

Area of Science:

  • Infectious Diseases
  • Hepatology
  • Gastroenterology

Background:

  • Measles is a highly contagious viral illness impacting multiple organ systems.
  • Adult measles cases can present with diverse clinical manifestations beyond typical exanthem.

Purpose of the Study:

  • To describe the clinical characteristics of adult measles patients during a 2012 outbreak in Spain.
  • To identify factors associated with hospital admission in adult measles cases.

Main Methods:

  • Retrospective analysis of 147 consecutive adult measles patients.
  • Data collection included patient demographics, symptoms, and laboratory findings.

Main Results:

  • Gastrointestinal symptoms like nausea (48.3%), vomiting (39.5%), and diarrhea (27.2%) were frequent.
  • Hepatobiliary involvement occurred in 67.5% of patients.
  • Hospital admission (25.9%) was linked to dyspnea, elevated alanine aminotransferase, odynophagia, and vomiting.

Conclusions:

  • Gastrointestinal and liver involvement are common complications in adult measles.
  • Prompt recognition of specific symptoms is crucial for managing severe adult measles cases.

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