Hepatitis B Virus (HBV)

Category: Measles outbreak

Differentiating the wild from the attenuated during a measles outbreak (part 5)

In jurisdictions where measles is uncommon, a measles-like rash may be mistaken for other viral agents such as adenovirus, enterovirus or parvovirus B19. The successful genotyping and identification of the measles virus as a vaccine strain in the present child serves to remind clinicians of potential signs and symptoms following the administration of live attenuated […]

Differentiating the wild from the attenuated during a measles outbreak

Differentiating the wild from the attenuated during a measles outbreak (part 4)

Discussion The MMR vaccine contains live attenuated measles virus. It is estimated that administration of this vaccine is associated with moderate (39.4°C) fever in as many as 5% of recipients, and a rash in approximately 2% of those receiving immunization. These events typically occur approximately five to 12 days following immunization and often resolve without […]

Differentiating the wild from the attenuated during a measles outbreak

Differentiating the wild from the attenuated during a measles outbreak (part 3)

Clinical specimens were collected and submitted for laboratory testing, which included a throat swab for Streptococcus pyogenes (group A streptococcus), a serum sample for measles immunoglobulin (Ig) M and IgG antibodies (Enzygnost Anti-Measles Virus IgM and IgG ELIZA, Siemens Healthcare Diagnostics, Germany), a urine sample and an NP swab for a measles reverse transcription polymerase […]

Differentiating the wild from the attenuated during a measles outbreak

Differentiating the wild from the attenuated during a measles outbreak (part 2)

CASE PRESENTATION In the spring of 2010, there was heightened awareness of measles infection in the physician community as a result of a public health notification related to several imported measles cases in Alberta. During this period, a 15-month-old child presented to his paediatrician’s office with irritability, a fever (38.8°C), a cough and conjunctivitis. The […]

Differentiating the wild from the attenuated during a measles outbreak

Differentiating the wild from the attenuated during a measles outbreak (part 1)

In the spring of 2010, several imported cases of measles were reported within the province of Alberta (population of 3.5 million in 2009). Most cases of measles in Alberta, like the rest of Canada and the Americas, are linked to an imported illness or exposure during travel. Given the infrequent occurrence of measles in Alberta, […]

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