[Source: Emerging Infectious Diseases Journal, full PDF document: (LINK). Extract, edited.]
DOI: http://dx.doi.org/10.3201/eid1803.111300
Suggested citation for this article: Lupo J, Bernard S, Wintenberger C, Baccard M, Vabret A, Antona D, et al. Fatal measles without rash in immunocompetent adult, France. Emerg Infect Dis [serial on the Internet]. 2012 Mar [date cited]. http://dx.doi.org/10.3201/eid1803.111300
Fatal measles without rash in immunocompetent adult, France
To the Editor:
The reemergence of measles in Europe is a reminder of the forgotten risk for severe illness and death associated with this disease in industrialized countries. Since 2008, >20,000 measles cases and 9 measles-associated deaths (in 7 immunocompromised and 2 immunocompetent persons) have been reported to the French Institute for Public Health. Among these cases, the reported causes of death were pneumonia and/or acute respiratory distress syndrome (ARDS) (n = 7) and encephalitis (n = 2). All patients except 1, an immunocompromised patient, had the typical morbillous rash. We report another fatal case of measles, with intractable ARDS but no rash, in an apparently immunocompetent adult.
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DOI: http://dx.doi.org/10.3201/eid1803.111300
Suggested citation for this article: Lupo J, Bernard S, Wintenberger C, Baccard M, Vabret A, Antona D, et al. Fatal measles without rash in immunocompetent adult, France. Emerg Infect Dis [serial on the Internet]. 2012 Mar [date cited]. http://dx.doi.org/10.3201/eid1803.111300
Fatal measles without rash in immunocompetent adult, France
To the Editor:
The reemergence of measles in Europe is a reminder of the forgotten risk for severe illness and death associated with this disease in industrialized countries. Since 2008, >20,000 measles cases and 9 measles-associated deaths (in 7 immunocompromised and 2 immunocompetent persons) have been reported to the French Institute for Public Health. Among these cases, the reported causes of death were pneumonia and/or acute respiratory distress syndrome (ARDS) (n = 7) and encephalitis (n = 2). All patients except 1, an immunocompromised patient, had the typical morbillous rash. We report another fatal case of measles, with intractable ARDS but no rash, in an apparently immunocompetent adult.
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Comment