Chamales I A, Napolitano P G, Rosa C
Department of Obstetrics and Gynecology William Beaumont Army Medical Center, El Passo, TX, USA.
Infect Dis Obstet Gynecol. 1995;2(6):279-81. doi: 10.1155/S1064744995000184.
Measles (rubeola), a common childhood exanthema, occurs infrequently in adults. Vaginal mucositis in association with measles is not commonly described.
During a recent measles epidemic, 2 female patients presented with high fever, myalgia, exanthema, and prostration. On examination, each patient had marked inflammation and tenderness of the vaginal mucosa, prompting the presumptive diagnosis of toxic shock syndrome. The evolution of the illness was consistent with measles. Cervicovaginal cultures were negative for pathogens. Acute and convalescent antibody titers for Rocky Mountain spotted fever, rubella, leptospirosis, and Proteus Ox-19 were not consistent with a recent infection. The sera also were negative for anti-toxic shock toxin-1 and anti-streptolysin. Measles antibody titers were consistent with a recent infection.
Vaginal mucositis is an unusual manifestation of measles that may mimic toxic shock syndrome.
麻疹（风疹）是一种常见的儿童疹病，在成人中很少发生。与麻疹相关的阴道黏膜炎并不常见。
在最近一次麻疹流行期间，两名女性患者出现高热、肌痛、皮疹和虚脱。检查时，每名患者的阴道黏膜均有明显炎症和压痛，提示疑似中毒性休克综合征。疾病的进展与麻疹一致。宫颈阴道培养物的病原体检测为阴性。落基山斑疹热、风疹、钩端螺旋体病和变形杆菌Ox-19的急性期和恢复期抗体滴度与近期感染不符。血清抗中毒性休克毒素-1和抗链球菌溶血素检测也为阴性。麻疹抗体滴度与近期感染相符。
阴道黏膜炎是麻疹的一种不寻常表现，可能会被误诊为中毒性休克综合征。
