TABLE 1

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.