Mr. Beyondtheory
07-08-09, 10:57 AM
1968 28th Edition Black's Medical Dictionary:
Excerpts:
~"In 1966 there were 343,642 cases in England and Wales, with 80 deaths. One attack of measles does not give complete immunity from future attacks, though there is a certain amount of protection, and second attacks are rare."
Infectiousness
~There are few diseases so infectious as measles, and its rapid spread in epidemics is no doubt due to the fact infection is most potent in the earlier stages, even in the first three days, before its real nature hs been shown by the appearance of the rash. Hence the difficulty of timely isolation..."
Early Symptoms
~"(the early symptoms of measles are)...sudden onset of acute catarrh of the mucous membranes. Sneezing, accompanied with a watery discharge, sometimes bleeding from the nose, redness and watering of the eyes, cough of a short, frequent, and noisy character, with little or no expectoration, hoarseness of the voice, and occasionally sickness and diarrhoea, are the chief symptoms of this stage. Along with these there is well-marked febrile disturbance, the temperature being elevated to 102-104F (39-40C), and the pulse rapid, while headache, thirst and restlessness are usually present...In some instances these initial symptoms are so slight they almost escape notice..."
Later Symptoms (the Rash)
~"About the fourth day after the invasion, sometimes later, rarely earlier, the characteristic eruption appears on the skin, being first noticed on the brow, cheeks, chin, also behind the ears, and on the neck. It consists of small spots of a dusky red or crimson colour, slightly elevated above the surface, at first isolated, but tending to become grouped together...The face acquires a swollen and bloated appearance, which taken along with the catarrh of the nostrils and eyes....renders diagnosis (easy).....The eruption spreads downwards over the body and limbs, which are soon thickly studded with the red..patches. Sometimes these become confluent over a consderable surface, giving rise to a larger area of uniform redness. The rash continues to come out for two or three days, and then begins to fade in the order in which it first showed itself"
The Crisis Stage
~"At the commencement of the eruptive stage, the fever, catarrh, and other constitutional disturbances, which were present from the beginning, become aggravated, the temperature often rising to 105F or more, and there are headache, thirst, furred tongue, and soreness of the throat, ....the patient is usually much depressed. These symptoms usually decline as soon as the rash has attained its maximum, and often there occurs a sudden and extensive fall of temperature, indicating that the crisis of the disease has been reached."
Severe form of measles
~"Measles may, however, occur in a very severe or malignant form, in which the symptoms throught out are of urgent character, the rash but feebly developed and of dark-purple hue, while there is great prostration of strength, accompanied with intense catarrh of the respiratory or gastro-intestinal mucous membrane. Such cases, always of serious import, are happily rare, occurring mostly in circumstances of bad hygiene, both as regards the individual and his surroundings. On the other hand, cases of measles are often met of so mild a form throughout that the patient can scarcely be persuaded to submit to treatment."
Complications
~"(measles is of chief importance only because of certain complications), more especially inflammatory affections of the respiratory organs. These are most liable to occur in very young and delicate children.....irritation of the respiratory passages is one of the symptoms characteristic of measles, but that this subsides with the decline of the eruption. Not infrequently, however, these symptoms, instead of abating, become aggravated, and bronchitis..., or pneumonia...imparts to the case a gravity which it did not originally possess. By far the greater proportion of the mortality in measles is due to its complications, of which those just mentioned are the most common, but which also include inflammatory affections of the larynx, and also diarrhoea assuming a dysenteric character."
Excerpts:
~"In 1966 there were 343,642 cases in England and Wales, with 80 deaths. One attack of measles does not give complete immunity from future attacks, though there is a certain amount of protection, and second attacks are rare."
Infectiousness
~There are few diseases so infectious as measles, and its rapid spread in epidemics is no doubt due to the fact infection is most potent in the earlier stages, even in the first three days, before its real nature hs been shown by the appearance of the rash. Hence the difficulty of timely isolation..."
Early Symptoms
~"(the early symptoms of measles are)...sudden onset of acute catarrh of the mucous membranes. Sneezing, accompanied with a watery discharge, sometimes bleeding from the nose, redness and watering of the eyes, cough of a short, frequent, and noisy character, with little or no expectoration, hoarseness of the voice, and occasionally sickness and diarrhoea, are the chief symptoms of this stage. Along with these there is well-marked febrile disturbance, the temperature being elevated to 102-104F (39-40C), and the pulse rapid, while headache, thirst and restlessness are usually present...In some instances these initial symptoms are so slight they almost escape notice..."
Later Symptoms (the Rash)
~"About the fourth day after the invasion, sometimes later, rarely earlier, the characteristic eruption appears on the skin, being first noticed on the brow, cheeks, chin, also behind the ears, and on the neck. It consists of small spots of a dusky red or crimson colour, slightly elevated above the surface, at first isolated, but tending to become grouped together...The face acquires a swollen and bloated appearance, which taken along with the catarrh of the nostrils and eyes....renders diagnosis (easy).....The eruption spreads downwards over the body and limbs, which are soon thickly studded with the red..patches. Sometimes these become confluent over a consderable surface, giving rise to a larger area of uniform redness. The rash continues to come out for two or three days, and then begins to fade in the order in which it first showed itself"
The Crisis Stage
~"At the commencement of the eruptive stage, the fever, catarrh, and other constitutional disturbances, which were present from the beginning, become aggravated, the temperature often rising to 105F or more, and there are headache, thirst, furred tongue, and soreness of the throat, ....the patient is usually much depressed. These symptoms usually decline as soon as the rash has attained its maximum, and often there occurs a sudden and extensive fall of temperature, indicating that the crisis of the disease has been reached."
Severe form of measles
~"Measles may, however, occur in a very severe or malignant form, in which the symptoms throught out are of urgent character, the rash but feebly developed and of dark-purple hue, while there is great prostration of strength, accompanied with intense catarrh of the respiratory or gastro-intestinal mucous membrane. Such cases, always of serious import, are happily rare, occurring mostly in circumstances of bad hygiene, both as regards the individual and his surroundings. On the other hand, cases of measles are often met of so mild a form throughout that the patient can scarcely be persuaded to submit to treatment."
Complications
~"(measles is of chief importance only because of certain complications), more especially inflammatory affections of the respiratory organs. These are most liable to occur in very young and delicate children.....irritation of the respiratory passages is one of the symptoms characteristic of measles, but that this subsides with the decline of the eruption. Not infrequently, however, these symptoms, instead of abating, become aggravated, and bronchitis..., or pneumonia...imparts to the case a gravity which it did not originally possess. By far the greater proportion of the mortality in measles is due to its complications, of which those just mentioned are the most common, but which also include inflammatory affections of the larynx, and also diarrhoea assuming a dysenteric character."