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Measles

WHAT YOU SHOULD KNOW

Measles (ME-suls) is a viral infection that spreads very quickly to people who have never had the disease or a shot (vaccine). It infects the throat, airways, and lungs, as well as the skin. After being around someone with measles, it will take 1 to 2 weeks before you know whether you have it. The disease is also called rubeola (rue-be-O-luh).

Causes

Measles is caused by the rubeola virus. Your chances of getting the disease are greater if you have never had the measles shot (part of the MMR shot).

Signs/Symptoms

The first symptoms are a high fever, loud coughing, runny nose, and red eyes. These are followed in 2 to 4 days by the appearance of tiny, white spots in the mouth and throat. A day or two after that, a rash breaks out on the forehead, then spreads around the ears and down onto the body. The rash lasts 4 to 7 days.

Care

Antibiotics don't work against measles, but you can give acetaminophen to ease the fever. Call your child's school or daycare center right away and let them know that your child has the measles. For advance protection against measles, make sure all your children get MMR shots. If you or a child have been around someone with measles, ask your doctor about getting a gamma globulin shot.

WHAT YOU SHOULD DO

  • Do NOT give aspirin to a child with measles who is under 18 years of age. This could lead to brain and liver damage (Reye's syndrome). Be sure to check for aspirin on the label of any over-the-counter medicines you buy.
  • You may give your child acetaminophen for fever.
  • To relieve coughing, use a cool-mist humidifier to increase air moisture. Do not use hot steam. You also may give your child honey, corn syrup, cough drops, or a cough medicine.
  • Keep your child away from people who have never had measles or the measles vaccine.
  • Your child should rest as much as possible and get plenty of sleep.
  • Give plenty of fluids (water, juice, clear soups).
  • Your child's eyes may be sensitive to light for a few days. Wipe the eyes often with a clean, wet cotton ball. It will also help for the child to wear sunglasses or stay in a darkened room.
  • Keep the child home from school or daycare until the fever and rash are gone. This usually takes about 7 days.

Call Your Doctor If...

  • Your child gets a high temperature after being normal for a day or two.
  • Your child brings up thick, brown, green, or gray sputum while coughing, or the cough lasts for more than 4 or 5 days.
  • Your child has a really bad headache.
  • Your child has an earache.

Seek Care Immediately If...

  • Your child has trouble breathing or is breathing very fast.
  • Your child has a headache, drowsiness, stiff neck, and vomiting all at once.
  • Your child has a seizure.
  • Your child develops a very high temperature.



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