Affordable Access

The aetiology of maculopapular rash diseases in Niterói, State of Rio de Janeiro, Brazil: implications for measles surveillance.

Authors
  • Oliveira, S A
  • Siqueira, M M
  • Camacho, L A
  • Nogueira, R M
  • Spinetti, C C
  • Cubel Garcia, R C
  • Knowles, W
  • Brown, D W
Type
Published Article
Journal
Epidemiology and infection
Publication Date
Dec 01, 2001
Volume
127
Issue
3
Pages
509–516
Identifiers
PMID: 11811885
Source
Medline
License
Unknown

Abstract

A study investigating the causes of rash diseases using systematic laboratory testing was conducted in Niterói, Rio de Janeiro, between January 1994 to April 1998. Sera from 327 patients were tested for evidence of anti-rubella virus, measles virus, human parvovirus B19 and dengue fever virus specific immunoglobulin IgM and anti-human herpes virus type 6 (HHV-6) IgG antibodies. A laboratory confirmed diagnosis was achieved in 71.3% of the cases investigated: dengue fever (33.0%), rubella (20.2%), parvovirus B19 (9.2%), measles (6.7%) and HHV-6 (2.1%). No diagnosis was established for 94 cases (28.7%). An outbreak of measles was detected during 1997, with a peak in September and October. All of the diseases studied here presented with clinical features similar to measles and classical symptoms were found in all measles confirmed cases. The large overlap of combinations of signs and symptoms seen in this study highlights the difficulties of diagnosing a rash illness on clinical grounds alone.

Report this publication

Statistics

Seen <100 times