Measles and German Measles



Measles and German Measles
Measles and German Measles


Measles ( Rubeola )



Agent : rubeola measles virus .

Source : respiratory secretions, blood and urine of infected person .

Transmission : by direct contact with infected person .

Passive immunity : birth to 1 year of age if mother is immune prior to pregnancy .

Incubation period : 5-15 days .

Common age : school age in spring .

Period of communicability : 4 days before to 5 days after rash appear .

Clinical manifestations :

- Catarrhal stage : fever, malaise, cough, conjunctivitis, koplik's spots .

- Rash : Appear 2-4 days after onset of catarrhal stages begins in face and gradually spread downward .

Treatment :

- Vitamin A supplement .

- Bed rest .

- Antipyretics .

- Antibiotics to prevent secondary bacterial infections .

- Calamine lotion to minimize itching .


Rubella ( German measles )


Agent : rubella virus .

Source : respiratory secretions, blood and urine of infected person .

Transmission : by direct and indirect contact with infected person .

Incubation period : 14-21 days .

Period of communicability : 7 days before to 5 days after rashes appear .

Clinical manifestations :

- catarrhal stage : headache , anorexia , low grade fever , sore throat , conjunctivitis and malaise for 1-5 days and subside1 day after appearance of rashes .

- rash : firstly in face then down ward to neck , arms , trunk and legs and disappear the same way by the 2nd or 3rd day .

Treatment :


no treatment necessary other than antipyretics and analgesics .

complications : greatest danger is teratogenic effect on fetus ( cataract , CHD , and deafness )




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