Abstract
Fatal Measles without Rash in Immunocompetent Adult, France
Highlights
All patients except 1, an immunocompromised patient, had the typical morbillous rash. We report another fatal case of measles, with intractable acute respiratory distress syndrome (ARDS) but no rash, in an apparently immunocompetent adult
Retrospective testing of serum, bone marrow, and bronchoalveolar lavage (BAL) specimens collected during days 2–20 of hospitalization demonstrated measles virus RNA
The diagnosis of ARDS caused by measles was supported by detection of the measles genome in BAL samples and body fluids in the absence of any other pathogen, but pulmonary superinfection with unidentified pathogens could not be ruled out
Summary
Author affiliations: Universidad Peruana Cayetano Heredia, Lima, Peru 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. The reported causes of death were pneumonia and/or acute respiratory distress syndrome (ARDS) (n = 7) and encephalitis (n = 2).
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