Abstract
An outbreak of measles in an infants' and small-children's ward is reported in which the disease ran a completely atypical course. Despite exact observation Koplik spots were not demonstrable in any of the affected children and even the rash did not have the usual appearance. Thus the final diagnosis could only be made serologically. It is possible that the infection in the infants and small children was so modified by transplacental maternal antibodies that the disease ran a completely atypical course.
Similar content being viewed by others
Literature
Enders-Ruckle, G.: Masern. Virus und Rickettsieninfektionen des Menschen., Hrsg. R. Haas und O. Vivell, S. 535–594. München: Lehmann 1965a.
Enders-Ruckle, G.: Methods of determining immunity duration and character of immunity resulting from measles. Arch. ges. Virusforsch. 16, 182–207 (1965b).
Glanzmann, E.: Masern. In: Handbuch der Inneren Medizin, Bd. 1, Teil 1, S. 100–151, Infektionskrankheiten, 4. Aufl. Berlin-Göttingen-Heidelberg: Springer 1952.
Katz, S. L.: Measles, its complications, treatment and prophylaxis. Med. Clin. N. Amer. 46, 1163–1175 (1962).
Kunz, Ch., Krausler, J.: Bildung und Überdauern der komplementbindenden Antikörper nach Infektion mit Frühsommer-Meningoencephalitis (Tick-borne encephalitis). Arch. ges. Virusforsch. 14, 499–507 (1964).
Pirquet, Cl. v.: Das Bild der Masern auf der äußeren Haut. Berlin: Springer 1913.
Poddine, G., Calvani, M.: Considerazioni clinico statistiche sul morbillo del neonato e moderni orientamenti immuno Profilattici. Aggiorn. pediat. 12, 495–500 (1961).
Reuss, A.: Die Krankheiten des Neugeborenen. Berlin: Springer 1914.
Revenok, D.: Klinik der Masern bei Säuglingen mit Immunität von der Mutter her. Pediat. Akus Ginek 2, 16–18 (1963).
Rhazes, A.: Treatise on the small pox and measles. London: Sydenham Society 1848.
Stewart, G. L., Parkman, P. D., Hope, H. E., Douglas, R. D., Hamilton, J. D., Mayer, H. M.: Rubella-virus hemagglutination-inhibition test. New Engl. J. Med. 276, 554–557 (1967).
Theopold, W.: Maserninfektion bei einem Neugeborenen. Arch. Kinderheilk. 166, 174–177 (1962).
Vahlquist, B.: Morbilli. Lehrbuch der Pädiatrie, 8. Aufl., S. 519–524. Hrsg. G. Fanconi und A. Wallgren. Basel-Stuttgart: Schwabe 1967.
Volynskaja, V. A., Bugaeva, G. P.: Besonderheiten des klinischen Bildes der Masern bei Kindern im Alter bis zu 6 Monaten. Pediatrija 39, 52–54 (1956).
Weller, Th., Alford, Ch. A., Neva, F. A.: Changing epidemilogic concepts of rubella with particular reference to unique characteristics of the congenital infection. Yale J. Biol. Med. 37, 455–467 (1965).
Author information
Authors and Affiliations
Additional information
This was read in parts at the 10th meeting of the Austrian Society of Pediatrics in Vienna, October 20th, 1972.