Common Childhood Exanthems Case 2

A 2-year-old boy from a travellers’ site attends your department with his two siblings and mother.

He has a 1-day history of a rash.

There has been a recent outbreak of measles in the community and the public health team have previously been to the site.

On examination, the child has an erythematous maculopapular rash to the face and trunk, extremities and palms.

List five other symptoms or signs associated with measles.

Which of the following are more common complications of measles?

Select one or more options.

Which of the following questions would be of most value to ask the patient’s unimmunised mother at this stage?

Select one or more options.

A complete examination of this patient reveals a miserable child with a temperature of 38°C, conjunctivitis, an erythematous maculopapular rash to the face and trunk and buccal mucosal spots.

Pulse is 120, good pulse volume, sats 98%, BM 4, normal chest, GI, ear nose and throat and neurological examination.

Enquiry reveals no siblings less than 12 months of age, no risk of pregnancy in the mother and two unimmunised siblings.

In the light of the findings of the complete examination, which of the following are appropriate management actions?

Select one or more options.