PATHOGENESIS OF MEASLES (rubeola)
Transmission
/.,mnbv by Infect epithelial cells
Virus multiplies in the
Droplets of Measles Of the nose and
epithelial cells
Virus (paramyxovirus) conjunctiva
Extends to the regional
Period of Communicability: during period of Lymph nodes by way of
coryza or catarrhal symptoms or 4 days Lymphatic system
Before rash appears- 5 days after rash
appears.
Primary Viremia Occurs Incubation
Period
Koplik’s spot (Graying Specks) describe as tin
Red patches with central white specks in the The virus continue to
1st – 10th day
buccal mucosa in the second molar. replicate in the
epithelial cells and
Reticuloendotheliel
Measles Virus- (-) single stranded RNA,
system
unsegmented,
lipid containing envelope, Helical symmetry and
replicates in the cytoplasm. Secondary Viremia Occurs
Measles Vaccine
(MMR)-Live Infection starts
Attenuated 12-15
mos of age
Fever and Malaise Prodrome
Period
In Biopsy of lymph
Node the presence Coryza, conjunctival
injection, coughs 8st – 12th day
Of Warthin-
finkeldy or the
Multi-nucleated
Koplik’s Spot 8st – 12th day
Giant Cell
Rash erupts
Presence of HA or (macupapular) Centrifugal 8st – 12th day
Hemo agglutin
activity and F
Protein Rash advances to the trunks