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Measles mimicking HIV seroconversion syndrome: a case report
IntroductionMeasles is on the increase in the United Kingdom and must be thought of as a differential diagnosis in any patient presenting with fever and a rash. As a highly infectious disease, identified cases must be isolated in the hospital setting.Case PresentationA 28 year old Polish housewife presented unwell to the accident and emergency department of a district general hospital with painful genital ulceration, oral soreness, fever and a facial rash.
She became hypoxic within 24 hours of presentation and began to tire, requiring non-invasive ventilation. Her respiratory symptoms were out of proportion to the chest radiograph findings, which remained virtually normal.
Human immunodeficiency virus seroconversion syndrome complicated by Pnemocystis carinii pneumonia was high amongst the differential diagnoses. She was givenco-trimoxazole, high dose steroids, broad spectrum antibiotics &anti fungal cover.
Human immunodeficiency virus polymerase chain reaction came back as negative and her symptoms resolved within 10 days of presentation. She was taken off all treatment and discharged home feeling well.
Serological measles was confirmed as part of a viral screen although its clinical suspicion was low.
Conclusion: Presentation of disease was unique and atypical.
Author: Mahua ChatterjeeMargaret ColemanGary BrookDaniel McCrea
Credits/Source: Journal of Medical Case Reports 2010, 4:41
Measles mimicking HIV seroconversion syndrome: a case report
IntroductionMeasles is on the increase in the United Kingdom and must be thought of as a differential diagnosis in any patient presenting with fever and a rash. As a highly infectious disease, identified cases must be isolated in the hospital setting.Case PresentationA 28 year old Polish housewife presented unwell to the accident and emergency department of a district general hospital with painful genital ulceration, oral soreness, fever and a facial rash.
She became hypoxic within 24 hours of presentation and began to tire, requiring non-invasive ventilation. Her respiratory symptoms were out of proportion to the chest radiograph findings, which remained virtually normal.
Human immunodeficiency virus seroconversion syndrome complicated by Pnemocystis carinii pneumonia was high amongst the differential diagnoses. She was givenco-trimoxazole, high dose steroids, broad spectrum antibiotics &anti fungal cover.
Human immunodeficiency virus polymerase chain reaction came back as negative and her symptoms resolved within 10 days of presentation. She was taken off all treatment and discharged home feeling well.
Serological measles was confirmed as part of a viral screen although its clinical suspicion was low.
Conclusion: Presentation of disease was unique and atypical.
Author: Mahua ChatterjeeMargaret ColemanGary BrookDaniel McCrea
Credits/Source: Journal of Medical Case Reports 2010, 4:41