An Unexpected Case of Measles

Abstract

Outbreaks of measles in London and the South East have been reported recently despite relatively high vaccination rates. We describe the case of a 50 year old female with a delayed diagnosis of atypical measles who presented with respiratory symptoms, fever and a maculopapular eruption, who was treated for a community acquired pneumonia. Steroid and antimicrobial therapy was commenced and blood tests showed raised liver enzymes, inflammatory markers and lymphopenia. She developed a widespread maculopapular eruption which was suggestive of measles and confirmed through the presence of IgM antibodies. She was treated conservatively and made a full recovery. Our case highlights the importance of considering measles in patients presenting with a maculopapular rash and respiratory symptoms, as this can be consistent with a diagnosis of atypical measles.