麻疹（英文） 幻灯片 课件.ppt

Branny desquamation hyperpigmentation Cough Rash Koplik’s spots Coryza and conjunctivitis Convalescent stage Exanthem stage Prodromal stage Clinical periods 14 13 12 11 10 9 8 7 6 5 4 3 2 1 Days 1-14 Temp ℃ Summary of typical clinical features 41 40 39 38 37 36 DIVISION OF INFECTIOUS DISEASE AND GASTROENTEROLOGY Clinical manifestations Atypical manifestations DIVISION OF INFECTIOUS DISEASE AND GASTROENTEROLOGY Clinical manifestations Atypical manifestations Mild measles Measles in adults Severe measles Occurs in the patient with partial immunity Occurs in the patients with immunocompromised DIVISION OF INFECTIOUS DISEASE AND GASTROENTEROLOGY Complications DIVISION OF INFECTIOUS DISEASE AND GASTROENTEROLOGY Complications Pneumonia Subacute sclerosing panencephalitis (SSPE) Encephalitis Laryngitis Exacerbation of tuberculosis Malnutrition and Vitamin A deficiency the most frequent complication of measles (1) Primary pneumonia (2) Secondary pneumonia DIVISION OF INFECTIOUS DISEASE AND GASTROENTEROLOGY Lab studies DIVISION OF INFECTIOUS DISEASE AND GASTROENTEROLOGY Lab studies The white blood cell count tends to be low with a relative lymphocytosis. Multinucleated giant cells can be demonstrated in smears of the nasal mucosa during the prodromal stage. Testing of specific IgM in serum Measles virus isolation DIVISION OF INFECTIOUS DISEASE AND GASTROENTEROLOGY Diagnosis * * 麻　疹 MEASLES 重庆医科大学儿童医院 DIVISION OF INFECTIOUS DISEASE AND GASTROENTEROLOGY MEASLES Key points DIVISION OF INFECTIOUS DISEASE AND GASTROENTEROLOGY Acute respiratory infectious disease caused by measles virus clinical feature: Fever, Cough, Runny nose, Conjunctivitis, Exanthem Specific sign: Koplik’s Spots (a kind of enanthem ) DIVISION OF INFECTIOUS DISEASE AND GASTROENTEROLOGY Classification: A RNA virus Genus: morbillivirus