{"id":10241,"date":"2025-09-10T10:43:40","date_gmt":"2025-09-10T15:43:40","guid":{"rendered":"https:\/\/www.unmc.edu\/healthsecurity\/transmission\/?p=10241"},"modified":"2025-09-10T10:43:43","modified_gmt":"2025-09-10T15:43:43","slug":"are-you-ready-for-measles-wrath","status":"publish","type":"post","link":"https:\/\/www.unmc.edu\/healthsecurity\/transmission\/2025\/09\/10\/are-you-ready-for-measles-wrath\/","title":{"rendered":"Are You Ready for Measles&#8217; Wrath?"},"content":{"rendered":"<div class=\"panel body-content\"><div class=\"panel__container\">\n<p><a href=\"https:\/\/www.medpagetoday.com\/opinion\/parasites-and-plagues\/117330?xid=nl_secondopinion_2025-09-09&amp;mh=07f73d99b2b546c079b0b5a2312d87b1&amp;zdee=gAAAAABm4uVVa0noffRIJqPd2rsKKgBm5ZURWXfuJljHxkA5SxaiDrFhpdNSLVuatrcndghIUJbdB8i3tZ00Sf5MYAfngC1RuyQP-n6FrYFzvROxn-4_blA%3D&amp;utm_source=Sailthru&amp;utm_medium=email&amp;utm_campaign=SecondOpinions_090925\">Med Page Today<\/a><\/p>\n\n\n\n<p>Going forward, expect the unexpected. Not all patients will be children. Paul Natterson, MD, was very sick &#8212; and scared. One day, the 26-year-old intern was seeing patients at a county hospital and attending a concert at the Hollywood Bowl. The next morning, he was so fatigued he could barely walk. High fevers, a burning throat, and a throbbing headache soon followed &#8212; but no rash.<\/p>\n\n\n\n<p>Natterson&#8217;s first emergency department (ED) visit revealed normal labs and an unremarkable chest x-ray. He was quickly discharged with the vague, discomfiting diagnosis of a &#8220;viral syndrome.&#8221; Once back home, he worried he might actually die in his bed. A day later, Natterson&#8217;s sister (also an MD) brought him back to the ED. Now tachypneic and hypoxic, the intern&#8217;s x-ray still held no clues. Given the year (1989), a new idea surfaced among his colleagues: Might the young trainee have occult\u00a0<em>Pneumocystis<\/em>\u00a0pneumonia? Natterson, who lacked HIV risk factors or other immune compromising conditions, politely declined treatment with pentamidine.<\/p>\n<\/div><\/div>","protected":false},"excerpt":{"rendered":"<p>Med Page Today Going forward, expect the unexpected. Not all patients will be children. Paul Natterson, MD, was very sick &#8212; and scared. One day, the 26-year-old intern was seeing patients at a county hospital and attending a concert at the Hollywood Bowl. The next morning, he was so fatigued he could barely walk. High [&hellip;]<\/p>\n","protected":false},"author":11,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[33],"tags":[],"class_list":["post-10241","post","type-post","status-publish","format-standard","hentry","category-measles"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/www.unmc.edu\/healthsecurity\/transmission\/wp-json\/wp\/v2\/posts\/10241","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.unmc.edu\/healthsecurity\/transmission\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.unmc.edu\/healthsecurity\/transmission\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.unmc.edu\/healthsecurity\/transmission\/wp-json\/wp\/v2\/users\/11"}],"replies":[{"embeddable":true,"href":"https:\/\/www.unmc.edu\/healthsecurity\/transmission\/wp-json\/wp\/v2\/comments?post=10241"}],"version-history":[{"count":1,"href":"https:\/\/www.unmc.edu\/healthsecurity\/transmission\/wp-json\/wp\/v2\/posts\/10241\/revisions"}],"predecessor-version":[{"id":10242,"href":"https:\/\/www.unmc.edu\/healthsecurity\/transmission\/wp-json\/wp\/v2\/posts\/10241\/revisions\/10242"}],"wp:attachment":[{"href":"https:\/\/www.unmc.edu\/healthsecurity\/transmission\/wp-json\/wp\/v2\/media?parent=10241"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.unmc.edu\/healthsecurity\/transmission\/wp-json\/wp\/v2\/categories?post=10241"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.unmc.edu\/healthsecurity\/transmission\/wp-json\/wp\/v2\/tags?post=10241"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}