{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,20]],"date-time":"2026-06-20T06:02:20Z","timestamp":1781935340703,"version":"3.54.5"},"reference-count":17,"publisher":"BMJ","issue":"5","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2019,4,16]]},"published-print":{"date-parts":[[2019,5]]},"abstract":"<jats:p>Measles is becoming more prevalent; it can be difficult to diagnose, with severe complications in pregnancy. We report a case of measles in a 27-year-old, parainfluenza virus type 2-infected woman who was 32 weeks pregnant. She presented with fever, tachycardia, sore throat and a pruritic rash. She never had the measles, mumps, rubella vaccine. Serology showed raised inflammatory markers with lymphopoenia. Throat swab showed parainfluenza virus. Chest radiography was normal. Despite appropriate antimicrobial therapy, she developed worsening respiratory failure requiring premature delivery via caesarean section.<\/jats:p>\n               <jats:p>Postoperatively, she was transferred to a tertiary centre for extracorporeal membrane oxygenation. She was decannulated and made a full recovery. Meanwhile, her husband was diagnosed with measles. She was then tested and measles was confirmed. The baby did not develop congenital measles.<\/jats:p>\n               <jats:p>This case emphasises the importance of vaccine histories at booking of pregnancy and early multidisciplinary team input to facilitate delivery in rapidly deteriorating pregnant women.<\/jats:p>","DOI":"10.1136\/bcr-2018-228781","type":"journal-article","created":{"date-parts":[[2019,5,10]],"date-time":"2019-05-10T06:45:21Z","timestamp":1557470721000},"page":"e228781","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":7,"title":["Measles in pregnancy"],"prefix":"10.1136","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4213-7801","authenticated-orcid":false,"given":"Jassimran","family":"Bansal","sequence":"first","affiliation":[{"name":"Obstetrics and Gynaecology, King\u2019s College Hospital, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aisha","family":"Hameed","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynaecology, Princess Royal University Hospital, Orpington, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2019,5,9]]},"reference":[{"key":"2025082804223184000_12.5.e228781.1","doi-asserted-by":"crossref","first-page":"550","DOI":"10.1097\/GRF.0b013e31824df256","article-title":"Measles, mumps, and rubella","volume":"55","author":"White","year":"2012","journal-title":"Clin Obstet Gynecol"},{"key":"2025082804223184000_12.5.e228781.2","unstructured":"Laboratory-confirmed cases of measles, mumps and rubella (England). Health Protection Report.\u00a0Contract No: 9. 2018."},{"key":"2025082804223184000_12.5.e228781.3","unstructured":"Public Health England. Measles outbreaks confirmed in 5 areas across UK. 2018."},{"key":"2025082804223184000_12.5.e228781.4","unstructured":"Public Health England. Respiratory infections: laboratory reports 2018. 2018."},{"key":"2025082804223184000_12.5.e228781.5","doi-asserted-by":"crossref","first-page":"201","DOI":"10.1055\/s-0037-1600909","article-title":"Management of Acute Respiratory Failure in Pregnancy","volume":"38","author":"Lapinsky","year":"2017","journal-title":"Semin Respir Crit Care Med"},{"key":"2025082804223184000_12.5.e228781.6","doi-asserted-by":"publisher","DOI":"10.1136\/fn.80.3.F246"},{"key":"2025082804223184000_12.5.e228781.7","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0b013e3182a713c2"},{"key":"2025082804223184000_12.5.e228781.8","first-page":"797","article-title":"Measles in pregnancy: a descriptive study of 58 cases","volume":"82","author":"Eberhart-Phillips","year":"1993","journal-title":"Obstet Gynecol"},{"key":"2025082804223184000_12.5.e228781.9","doi-asserted-by":"publisher","DOI":"10.1016\/S0163-4453(03)00045-8"},{"key":"2025082804223184000_12.5.e228781.10","doi-asserted-by":"crossref","first-page":"163","DOI":"10.1097\/AOG.0000000000000903","article-title":"What obstetric health care providers need to know about measles and pregnancy","volume":"126","author":"Rasmussen","year":"2015","journal-title":"Obstet Gynecol"},{"key":"2025082804223184000_12.5.e228781.11","doi-asserted-by":"crossref","first-page":"261","DOI":"10.1016\/j.ijgo.2013.09.015","article-title":"Case-fatality rate associated with measles during pregnancy in Kassala, eastern Sudan","volume":"124","author":"Ali","year":"2014","journal-title":"Int J Gynaecol Obstet"},{"key":"2025082804223184000_12.5.e228781.12","doi-asserted-by":"publisher","DOI":"10.1016\/S0020-7292(97)00196-3"},{"key":"2025082804223184000_12.5.e228781.13","doi-asserted-by":"publisher","DOI":"10.1093\/clinids\/14.1.217"},{"key":"2025082804223184000_12.5.e228781.14","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1973.03230130009003"},{"key":"2025082804223184000_12.5.e228781.15","doi-asserted-by":"crossref","first-page":"516","DOI":"10.1016\/S0140-6736(88)91306-2","article-title":"Increased perinatal mortality among children of mothers exposed to measles during pregnancy","volume":"1","author":"Aaby","year":"1988","journal-title":"Lancet"},{"key":"2025082804223184000_12.5.e228781.16","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.j512"},{"key":"2025082804223184000_12.5.e228781.17","doi-asserted-by":"publisher","DOI":"10.1080\/01443610903104478"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2018-228781","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T11:22:41Z","timestamp":1756380161000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2018-228781"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,5]]},"references-count":17,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2019,5,9]]},"published-print":{"date-parts":[[2019,5]]}},"alternative-id":["10.1136\/bcr-2018-228781"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2018-228781","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,5]]}}}