Questionnaire/history: Close contact with possible case of measles (about 10-12 days prior to onset of symptoms)? - In the same room for 15 minutes? - Face-to-face contact? - Localised outbreak of measles? - Recent foreign travel? Prodomal symptoms (2-4 days before rash)? - Malaise? - Watery, sore, red eyes? - Runny nose? - Cough? - Fever 39+°C? - 2-3 mm red spots with white or blue-white centres at buccal mucosa (Koplik's spots)? Rash? - Small, red-brown, flat or slightly raised spots that my join together? - Started on the face and behind the ears before? Past medical history (eg measles)? Current medication? Drug allergies? Immunisation history (eg 2 doses of MMR)? Examination: Conjunctivitis? Koplik's spots? Erythematous, maculopapular (confluent) rash? Images of measles rash Management: Notified local Health Protection Team (HPT) and asked if testing kit (usually oral fluid sample for IgM/IgG and/or viral RNA testing) is needed and about testing schedule Seeked specific advice as patient or contact - < 1 year - Pregnant - Immunocompromised (regardless of immunization status) Advised: - Usually a self-limiting condition, but likely to cause unpleasant symptoms including rash, fever, cough and conjunctivitis, usually resolve over the course of about a week - To rest - To drink adequate fluids - Paracetamol or ibuprofen for symptomatic relief - To stay away from school or work for a least 4 days after the initial development of the rash (ideally until full recovery) - To avoid contact with susceptible peoples (i.e. not fully immunised, natural exposure, infants, pregnant women or immunosuppressed people) - To seek urgent medical advice if signs of a complication (eg SOB, uncontrolled fever, altered consciousness or convulsion) - To seek medical advice if new or worsening symptoms, no improvement or ongoing symptoms after 1 week Offered MMR vaccination for those who had significant contact with possible measles case if appropriate Reference(s): NICE CKS: Measles Information for patient/carer(s): NHS: Measles Patient UK: Measles