Broy Charles, Williamson Nicole, Morris Joseph
Department of Infectious Disease, Madigan Army Medical Center, Tacoma, WA, USA.
South Med J. 2009 Mar;102(3):299-300. doi: 10.1097/SMJ.0b013e318188b2ca.
A 38-year-old female with a two-week history of amoxicillin use for fever, cough, and coryza presented with two days of erythematous chest macules. Despite discontinuation of the antibiotic, her rash continued; measles was diagnosed with IgM titers. Three weeks previously she had returned from China. She had received only one vaccination despite travel to this measles-endemic area. Vaccination and herd immunity have reduced the measles prevalence in America by more than 99%; travel, foreign adoption, and refusal of vaccination have, however, increased the risk.
一名38岁女性，因发热、咳嗽和鼻塞服用阿莫西林两周，之后出现两天的胸部红斑疹。尽管停用了抗生素，她的皮疹仍持续存在；通过检测IgM滴度确诊为麻疹。三周前她从中国返回。尽管前往了这个麻疹流行地区，但她只接种过一次疫苗。疫苗接种和群体免疫已使美国的麻疹患病率降低了99%以上；然而，旅行、跨国收养和拒绝接种疫苗增加了患病风险。
