Mito Haruki, Hase Ryota, Oshima Nozomu, Ikeda Hiroyuki
Department of Infectious Diseases, Japanese Red Cross Narita Hospital, 90-1 Iida-cho, Narita, Chiba, 286-8523, Japan.
Department of Infectious Diseases, Kameda Medical Center, 929 Higashi-cho, Kamogawa, Chiba, 296-8602, Japan.
IDCases. 2021 May 9;24:e01157. doi: 10.1016/j.idcr.2021.e01157. eCollection 2021.
Japan has maintained measles elimination status since 2015. However, sporadic outbreaks of measles have been continuously reported. Here, we report a case of a measles-infected postpartum mother and infant in Japan. A 28-year-old Japanese woman, who had previously received a dose of the measles vaccination, experienced fever 5 days postpartum. Subsequently, a maculopapular rash appeared, and she was diagnosed with measles. Moreover, her baby developed a fever and maculopapular rash on the 13th day of life, 2 days after postexposure prophylaxis with intravenous immunoglobulin, and was also diagnosed with measles. Both showed full recovery. This case suggests that measles can still be a threat in a measles-eliminated country, and the administration of two doses of measles vaccination to women prior to childbearing age is crucial to protect newborns from measles.
自2015年以来，日本一直保持麻疹消除状态。然而，仍不断有麻疹散发病例的报告。在此，我们报告一例日本麻疹感染的产后母婴病例。一名28岁的日本女性，此前曾接种过一剂麻疹疫苗，产后5天出现发热。随后出现斑丘疹，被诊断为麻疹。此外，她的婴儿在出生后第13天，即在接受静脉注射免疫球蛋白进行暴露后预防2天后，出现发热和斑丘疹，也被诊断为麻疹。两人均完全康复。该病例表明，在已消除麻疹的国家，麻疹仍然可能构成威胁，育龄妇女接种两剂麻疹疫苗对于保护新生儿免受麻疹感染至关重要。
