Measles (Pediatrics - PEDS)

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Common-
This is a highly contagious infectious disease caused by a virus of the Paramyxoviridae family in the genus Morbillivirus. The virus is spread through droplets produced by breathing, coughing or in secretions of the nose, mouth or throat. Symptom onset is usually characterized with fever, general discomfort, cold-like symptoms, red eyes, dry cough and the manifestation of small white spots in the mouth. The characteristic skin lesions appear about three days after the onset of symptoms. A suspected diagnosis is established by taking the medical history and performing a physical examination. Diagnosis is confirmed through blood samples (serology), urine samples or samples of pharyngeal secretions. There is no specific treatment for measles. Symptomatic treatment is recommended.
Bibliographic references
  1. Hayley Gans, MD, Yvonne A Maldonado, MD. Clinical manifestations and diagnosis of measles. UpToDate. Feb 05, 2016.
  2. Hayley Gans, MD, Yvonne A Maldonado, MD. Prevention and treatment of measles. UpToDate. Apr 04, 2016.
  3. Perry RT, Gacic-Dobo M, Dabbagh A, et al. Global control and regional elimination of measles, 2000-2012. MMWR Morb Mortal Wkly Rep 2014; 63:103.
  4. Higgins JPT, Soares-Weiser K, Reingold A. Systematic review of the non-specific effects of BCG, DTP and measles containing vaccines. World Health Organization, Geneva 2014. www.who.int/immunization/sage/meetings/2014/april/3_NSE_Epidemiology_review_Report_to_SAGE_14_Mar_FINAL.pdf.
  5. Mina MJ, Metcalf CJ, de Swart RL, et al. Long-term measles-induced immunomodulation increases overall childhood infectious disease mortality. Science 2015; 348:694.
  6. Gershon A. Sarampión. Manual de diagnóstico y terapéutica médica Hospital Universitario 12 de octubre. 6ª edición. 2007. 573: 578.
Author
Dr. Elvira Moreno
Copyright
© TeckelMedical 2026

Symptoms

    Small, whitish blotches on the inside of the cheek, tongue and palate


    Rash on palms and soles


    Fever / Feel very hot


    Multiple flat or slightly raised red blotches


    Feeling generally unwell

Symptoms to watch out for

Fever not relieved by antipyretics (paracetamol, ibuprofen)
If it is accompanied by seizures
Irritability or decreased responsiveness to stimuli
Headache
Difficulty breathing or drooling
Cough with blood or pus

Self-care

Use over-the-counter pain relievers and consult your primary care physician to discuss other treatments.
Eat a balanced diet: increase consumption of fruits, vegetables, and white meats, and reduce consumption of fatty and fried foods.
Relative rest, rest until symptoms subside.