Synder R C, Gaskins S E, Pieroni R E
University of Alabama College of Community Health Sciences, Tuscaloosa.
Am Fam Physician. 1988 Feb;37(2):175-8.
Although immunization practices have dramatically reduced the incidence of measles, several populations remain at risk of the disease. Modified measles may occur in those who received immune globulin in childhood. Atypical measles, often confused with Rocky Mountain spotted fever, may develop in those who received inactivated measles virus vaccine and were subsequently exposed to the natural disease. The diagnosis of measles requires a high index of suspicion and a careful immunization history.
尽管免疫接种措施已大幅降低了麻疹的发病率，但仍有几类人群面临该疾病的风险。患过麻疹的人在儿童期接受免疫球蛋白治疗后可能会出现变异型麻疹。非典型麻疹常与落基山斑疹热混淆，可能发生在接种过灭活麻疹病毒疫苗且随后接触到自然感染麻疹病毒的人群中。麻疹的诊断需要高度的怀疑指数和详细的免疫接种史。
