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Forgotten but Not Gone: Update on Measles Infection for Hospitalists
Ketino Kobaidze1, Gregory Wallace2
1Division of Hospital Medicine, Emory University School of Medicine, Atlanta, Georgia.
Abstract:
Measles (rubeola) continues to be endemic and epidemic in many regions of the world. Measles is primarily a disease of childhood, but it can also affect adult populations, and therefore it is important that both adult and pediatric hospitalist physicians be able to recognize it. Although the disease is rarely encountered in the United States, measles infection can spread rapidly across vulnerable populations. In addition, infected adults can develop complications that may require hospitalization for treatment. This review summarizes the typical clinical course and complications of measles infection, along with recommendations for diagnosis and management for both adult and pediatric hospitalists. Journal of Hospital Medicine 2017;12:472-476.
Insights
Measles (rubeola) remains a global health concern, affecting both children and adults. Hospitalists should be prepared to diagnose and manage this contagious illness and its potential complications.
Area of Science:
- Infectious Diseases
- Pediatrics
- Internal Medicine
Background:
- Measles (rubeola) is a highly contagious viral illness that remains endemic and epidemic globally.
- While primarily a childhood disease, measles also impacts adult populations, necessitating awareness among healthcare providers.
- Despite its rarity in the United States, measles outbreaks can rapidly affect vulnerable groups.
Purpose of the Study:
- To review the clinical course and complications of measles infection.
- To provide diagnostic and management recommendations for adult and pediatric hospitalists.
- To enhance recognition and treatment of measles in hospitalized patients.
Main Methods:
- This is a review article.
- It synthesizes current knowledge on measles clinical presentation and sequelae.
- Recommendations are based on established medical literature and guidelines.
Main Results:
- Measles presents with a characteristic clinical course, but complications can arise, particularly in adults.
- Prompt recognition and appropriate management are crucial to prevent rapid spread and severe outcomes.
- Adults may experience more severe complications requiring hospitalization.
Conclusions:
- Adult and pediatric hospitalists must be adept at recognizing measles (rubeola) due to its potential for rapid transmission and serious complications.
- Effective diagnosis and management strategies are essential for controlling measles outbreaks in healthcare settings.
- This review offers practical guidance for hospital-based physicians managing measles patients.
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