Red Flags & When to Go In Person for Measles (Suspected) - Triage

Audience: adult

Measles is a contagious viral infection that often starts with fever, cough, runny nose, and red eyes, followed by a distinctive rash. While many people recover without problems, measles can sometimes cause serious complications, especially in adults or people with weakened immune systems. Telemedicine can help you understand your symptoms and decide if you need to see a healthcare provider in person. However, if you notice warning signs like difficulty breathing, persistent high fever, confusion, or severe dehydration, you should seek urgent medical care immediately. This guide explains when telemedicine can assist and when in-person evaluation is necessary, helping you stay safe and get the right care at the right time.

Red flags — go in person / ER

• Difficulty breathing or chest pain — go to emergency care immediately.
• Persistent high fever above 39°C (102°F) that does not improve with fever reducers — seek urgent medical evaluation.
• Confusion, difficulty waking, seizures, or severe headache — seek emergency care immediately.

What telemedicine can do

• Initial symptom assessment and advice.
• Guidance on managing mild symptoms at home.
• Information on preventing spread to others.
• Advice on when to seek in-person care.

What telemedicine cannot do

• Emergency symptoms like difficulty breathing or seizures.
• Severe dehydration or inability to keep fluids down.
• Complications requiring physical examination or hospital treatment.

What is Measles?

Measles is a viral infection that spreads easily through coughing and sneezing. It usually starts with symptoms like fever, cough, runny nose, and red, watery eyes. After a few days, a red rash typically appears, beginning on the face and spreading downward. Most people recover in about two weeks, but measles can sometimes cause serious problems, such as pneumonia or brain swelling.

Common Symptoms to Watch For

Typical symptoms of measles include:

If you have these symptoms and think you may have been exposed to measles, it is important to monitor your condition closely.

When to Use Telemedicine for Measles

Telemedicine can help you:

Telemedicine is useful for initial assessment and guidance, especially if you cannot easily visit a clinic.

When to Go In Person or Seek Emergency Care

Seek urgent in-person medical care if you experience:

These signs may indicate serious complications that require immediate treatment.

Preventing Measles Spread

To protect yourself and others:

Following these steps helps reduce the spread of infection.

How to prepare for your tele-visit

• Have a list of your symptoms and when they started.
• Know if you have had recent exposure to someone with measles.
• Prepare to describe your medical history and any medications you take.
• Ensure you have a thermometer to check your temperature.
• Find a quiet and private place for your telemedicine visit.

After your tele-visit

• Follow the healthcare provider's advice on symptom management.
• Monitor your symptoms closely and note any changes.
• Stay isolated to prevent spreading measles to others.
• Seek immediate care if red flag symptoms develop.
• Keep hydrated and rest as much as possible.

FAQs

Can measles be treated with antibiotics?

No, measles is caused by a virus, so antibiotics, which treat bacterial infections, are not effective. Treatment focuses on relieving symptoms and preventing complications.

How long is measles contagious?

People with measles are contagious from about four days before the rash appears until four days after. It's important to avoid contact with others during this time.

Can I get measles more than once?

Usually, once you have had measles, you develop immunity and do not get it again. Vaccination also provides strong protection against measles.

Is vaccination still important if I already had measles?

If you have had confirmed measles, vaccination is generally not needed. However, if you are unsure or lack documentation, talk to your healthcare provider about vaccination.

What can I do to protect others if I have measles?

Stay home and avoid contact with others, cover your mouth and nose when coughing or sneezing, and practice good hand hygiene to reduce the risk of spreading measles.

Sources

1. Measles — Centers for Disease Control and Prevention (CDC).
2. Measles — MedlinePlus, U.S. National Library of Medicine.
3. Measles (Rubeola) — Mayo Clinic.
4. Measles — World Health Organization (WHO).

This telemedicine guidance is for educational purposes only and is not a substitute for in-person medical care. If you experience any emergency symptoms or are unsure about your condition, seek immediate medical attention.