最后审阅: 2 六月 2022
最后更新: 08 四月 2022
小结
定义
病史和体格检查
关键诊断因素
- 可能与麻疹患者有接触
- 未接种或疫苗接种失败
- 发热
- 咳嗽
- 鼻炎
- 结膜炎
- 科氏斑
- 斑丘疹
更多 关键诊断因素
危险因素
- 暴露于麻疹病毒
- 无前期麻疹免疫接种
- 对麻疹疫苗无反应
更多 危险因素
诊断性检查
首要检查
- 血清学麻疹特异性IgM和IgG(ELISA)检测
更多 首要检查
需考虑的检查
- 麻疹特异性 IgG 的急性期和恢复期血清
- 通过 PCR 检测麻疹 RNA
- 荧光抗体法或PCR技术检测抗原
- 从组织培养体系中分离病毒
更多 需考虑的检查
治疗流程
急症处理
所有患者
撰稿人
作者
Elizabeth Barnett, MD
Professor of Pediatrics
Boston University School of Medicine
Boston Medical Center
Boston
MA
利益声明
EB has received research grant funding from Pfizer for COVID-19, RSV and pneumococcal vaccine studies. She has received royalties writing for UptoDate (evaluation of newly arrived immigrants) and AAP (parasitic disease treatment).
同行评议者
Linda Nield, MD, FAAP
Associate Professor of Pediatrics
West Virginia University School of Medicine
Morgantown
WV
利益声明
LN is an author of a reference cited in this topic.
Aisha Sethi, MD
Assistant Professor of Medicine
Associate Residency Program Director
University of Chicago
Chicago
IL
利益声明
AS declares that she has no competing interests.
鉴别诊断
- 风疹
- 细小病毒 B19
- 玫瑰疹
更多 鉴别诊断指南
- Recommended child and adolescent immunization schedule for ages 18 years or younger, United States, 2022
- Recommended adult immunization schedule for ages 19 years or older, United States, 2022
更多 指南患者教育信息
麻疹、腮腺炎和风疹:我的孩子是否应当接种 MMR 疫苗?
更多 患者教育信息登录或订阅即可浏览 BMJ Best Practice 临床实践完整内容
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