Nonrash clinical diagnostic findings in adults with measles
Symptoms |
Head, eyes, ears, nose, and throat |
Headache |
Runny nose |
Sore throat |
Systemic |
Dry cough |
Abdominal pain (pseudoappendicitis if in the right lower quadranta) |
Signs |
Eyes |
Conjunctival suffusion |
Watery eyes |
Lower lid swelling |
Keratitis |
Throat |
Koplik spots |
Dark red buccal mucosa |
Oral ulcers |
Laboratory tests |
Complete blood cell count |
Leukopenia |
Relative lymphopenia |
Thrombocytopenia |
Unelevated erythrocyte sedimentation rate |
Other |
Elevated lactate dehydrogenase |
Elevated ferritin |
Elevated aminotransferases |
Warthin-Finkeldey cells on nasal swab cytology (early only) |
↵a If appendectomy is performed, cytology shows Warthin-Finkeldey multinucleated giant cells.
Based on information in reference 5.