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A Measles Cluster in Michigan: Challenges for Measles Diagnosis in Adults Case Series and Review

Wells, Eden V. MD, MPH*‡; Blostein, Joel MPH*; Kim, Curi MD, MPH†; Potter, Rachel DVM, MS*; Boulton, Matthew MD, MPH‡

Infectious Diseases in Clinical Practice:
doi: 10.1097/IPC.0b013e3181c5ef0b
Original Articles
Abstract

Fewer than 200 cases of measles are reported each year in the United States, and healthcare workers in this country have little experience recognizing measles. While historically a childhood disease, adults are also at risk for measles and, as possible in any child or adult previously immunized for measles, may present with modified measles, making diagnosis more difficult. We present 3 cases of adult measles reported to the Michigan Department of Community Health as part of a multistate outbreak associated with an international traveler. These cases illustrate the need for increased awareness of adult measles, challenges for the clinician in diagnosis, and the need for rapid public health intervention in all suspect cases of measles.

Author Information

From the *Michigan Department of Community Health, Lansing, MI; †Detroit Quarantine Station, Quarantine and Border Health Services Branch, Division of Global Migration and Quarantine, National Center for Preparedness, Detection, and Control of Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, GA; and ‡University of Michigan School of Public Health, Ann Arbor, MI.

Reprints: Eden V. Wells, MD, MPH, Bureau of Epidemiology, Michigan Department of Community Health, 5th Floor CVB, 201 Townsend St, Lansing, MI, 48913. E-mail: wellsed@michigan.gov.

The authors have no funding or conflicts of interest to disclose.

No financial support was received for this work.

© 2010 Lippincott Williams & Wilkins, Inc.