{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T12:25:13Z","timestamp":1792844713065,"version":"4.5.0"},"reference-count":0,"publisher":"Ordem dos Medicos","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acta Med Port"],"abstract":"<jats:p>Fever and rash are a common combination of symptoms in the young adult patient. The etiologic investigation is usually oriented\u00a0towards the most common diseases, but atypical presentations of less frequent conditions should also be recalled. We describe the\u00a0case of a 44 year-old Portuguese woman who presented with fever, conjunctivitis, cough and rash, rapidly evolving to hepatitis and\u00a0extensive pneumonia with respiratory failure. Although she claimed to be vaccinated according to the national immunisation schedule,\u00a0a final diagnosis of primary measles pneumonia was clinically made and confirmed by serology. However, some less typical features\u00a0mislead us initially. Although the rare form of primary measles pneumonia is more prevalent among immunosuppressed patients, our\u00a0patient was immunocompetent. Moreover, absence of contagiousness, as was the case, occurs more frequently in atypical measles.\u00a0This case highlights the need to always confirm the alleged vaccination status in adults and raises attention to some unusual features\u00a0of typical measles.<\/jats:p>","DOI":"10.20344\/amp.9776","type":"journal-article","created":{"date-parts":[[2018,7,2]],"date-time":"2018-07-02T08:36:39Z","timestamp":1530520599000},"page":"341-345","source":"Crossref","is-referenced-by-count":8,"title":["Fever and Rash: Revisiting Measles"],"prefix":"10.20344","volume":"31","author":[{"given":"Joana Rodrigues","family":"Barbosa","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana Silva","family":"Martins","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jorge","family":"Ruivo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leonor","family":"Carvalho","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"8464","published-online":{"date-parts":[[2018,6,29]]},"container-title":["Acta M\u00e9dica Portuguesa"],"original-title":[],"link":[{"URL":"https:\/\/www.actamedicaportuguesa.com\/revista\/index.php\/amp\/article\/download\/9776\/5437","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.actamedicaportuguesa.com\/revista\/index.php\/amp\/article\/download\/9776\/5437","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,10,25]],"date-time":"2022-10-25T08:36:34Z","timestamp":1666686994000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.actamedicaportuguesa.com\/revista\/index.php\/amp\/article\/view\/9776"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,6,29]]},"references-count":0,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2018,6,29]]}},"URL":"https:\/\/doi.org\/10.20344\/amp.9776","relation":{},"ISSN":["1646-0758","0870-399X"],"issn-type":[{"value":"1646-0758","type":"electronic"},{"value":"0870-399X","type":"print"}],"subject":[],"published":{"date-parts":[[2018,6,29]]}}}