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Measles Skin rash? Thinking Measles? Clinical case definition Generalized maculopapular rash + fever (at least 38C) present at rash onset + cough or conjunctivitis or koplik spots Infection control Place the patient in a separate room to avoid Meets clinical case definition? infecting others. This room is to be left vacant for at least 30mins after consultation. Notify public health urgently or and arrange urgent laboratory tests for measles (PHU will liaise with testing laboratory to ensure appropriate infection control precautions) Laboratory tests 0 – 3 days after rash onset 3 – 7 days after rash onset 0 – 7 days after rash onset - throat or nasopharyngeal swab for PCR - throat or nasopharyngeal swab for PCR and blood for IgM - urine for PCR > 7 days after rash onset - blood for IgM NOTE: freeze specimens for PCR if they can’t get to the laboratory within 24 hours Differential diagnosis • Rubella • Roseola infantum • Human parvovirus • Enteroviruses • Arboviruses • Kawasaki syndrome • Drug hypersensitivity rash • Group A streptococcal disease (scarlet fever)