Question 265 · LEK · Measles

Mother reports to a GP and says that her 4-year-old child has had fever, rhinitis symptoms associated with dry cough and conjunctivitis for 5 days now. The mother has also noted white spots/pimples (on the buccal mucosa) near the molar teeth. The day before the appointment bright red maculopapular rash appeared behind the ears and spreading downwards. The child’s medical history shows no preventive vaccinations. Which diagnosis is most likely in the case described?

  1. A. pertussis.
  2. B. diphtheria.
  3. C. measles.
  4. D. rubella.
  5. E. COVID-19.
Hint

Combine the febrile catarrhal prodrome with conjunctivitis, the lesions on the buccal mucosa and the direction in which the rash spreads.

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