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Document Details :
Title: Huiduitslag geassocieerd met encefalitis
Author(s): PINTENS S, ROELANDT T, DE CONINCK A, PIPELEERS L, VERFAILLIE L, D’HAESELEER M, ROSEEUW D
Journal: Tijdschrift voor Geneeskunde
Volume: 68 Issue: 8 Date: 2012
Rash associated with encephalitis
A 35-year-old Caucasian male presented at the emergency department with fever, coughing and a skin rash. At the same time, his 8-month-old grandson was admitted with identical symptoms. During his admission, the patient started complaining of an occipital headache and appeared confused. The differential diagnosis at that time was viral encephalitis or bacterial meningococcal encephalitis and the patient was admitted to the intensive care unit. Finally, a positive IgM blood test and PCR test on nasopharynx aspiration confirmed the diagnosis of measles both in this patient and his grandson. Later on it appeared that the mother had also been admitted one week before at another hospital with fever and a skin rash, which was at that time ascribed to a drug reaction. It is suspected that this was the third case of measles within the same family; the beginning of a small epidemic!