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Volume 18, Number 9—September 2012

Letter

Severe Measles, Vitamin A Deficiency, and the Roma Community in Europe

Clea Melenotte, Philippe Brouqui, and Elisabeth Botelho-NeversComments to Author 
Author affiliations: Aix Marseille Université, Faculté de Médecine, Marseille, France

Main Article

Table

Characteristics of 6 measles case-patients and 2 control patients with vitamin A deficiency, Roma community, France*

Participant Age, y/ sex Signs and symptoms Defining characteristics Vitamin A level, mg/L† Outcome No. days in hospital
Case-patient 1 21/M Rash, meningo-encephalitis Positive PCR results for pharyngeal and urinary samples 0.31 Recovered 12
Case-patient 2 25/M Rash, hepatitis, keratitis Positive PCR result for pharyngeal and urinary samples 0.20 Recovered 4
Case-patient 3 26/M Rash Positive PCR result for pharyngeal sample 0.27 Recovered 2
Case-patient 4 22/M Rash Positive PCR result for urinary, nasal, and pharyngeal samples;
Positive serologic test result 0.27 Recovered 3
Case-patient 5 15/M Rash Positive PCR result for nasal sample 0.16 Recovered 1
Case-patient 6 17/M Rash, hepatitis, Koplik spots Clinical signs 0.34 Recovered 2
Control 1 34/F None NA 0.46 NA NA
Control 2 12/M None NA 0.36 NA NA

*Control participants did not have measles. NA, not applicable.
†Reference range 0.5–0.8 mg/L.

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