119
Diagnosis8516010126101142214286367438494535591
[1,1482595012847118156
10,1675595012871143181
15]:1893595012871143191233
A8518390128101
definitive989839012892157205245318358399440512576
diagnosis1602839012892132196268340412468509565
of2205839012891140
measles23828390128131194258314355420476
is2895839012860116
established3049839012884139180245316357398454526591663
based3748839012892157213284355
on4141839012891163
the4341839012860132196
epidemiological4575839012883154196268332444483555596668740781845910950
history,8511080012870111167208280329402437
clinical132510800128126166207279319385448488
data185110800128132196236302
(physical218910800128110181253326381422486550591
examination),281710800128125196261373412484548589630702773822859
and371310800128125196268
laboratory401910800128101166237309357422462534584656
confirmation471110800128125196268317357406518580622662734806
(detection8511321012847119183223289352392433505577
of146613210128100149
measles165213210128142204268324366430487
morbillivirus217613210128141211261332373414454495568609657728785
RNA299913210128124228329
in33651321012871143
a35451321012894
nasopharyngeal367713210128101165221292364436501549622692764828893933
mucosal464813210128141211277348404468508
swab51941321012886190253324
using8511563012870127167239311
qualitative12001563012885157222262303344408448490562626
reverse18631563012863127198262311367431
transcription23321563012855104168239296360409449521562602674746
polymerase31161563012885157198271382444493558614678
chain38311563012879150214254326
reaction,41951563012863128191255295336408480517
and47491563012878149221
enzymelinked50081563012879150214287398460851180501283980152224289360
immunosorbent12481805012856168278348421493549621671742806877918
assay22041805012879135191256329
of25681805012887136
serum27421805012871135184255367
to31441805012857129
detect33101805012887151191257320360
IgM37081805012863135262
antibodies40061805012880152192233305377449489553610
to46531805012856128
the48181805012856128192
measles504718050128127189254310352416471
virus8512046012870111160232288
in11772046012840112
the13252046012841113177
blood).15402046012871111183255327376413
The8512287012886158222
optimal11102287012887159199240352414456
time1604228701285596208270
for19122287012864135184
blood21332287012887127199271343
sampling25142287012871136248318359399471543
for30952287012864136184
testing33162287012856121177217258330402
is37562287012855112
4-539062287012886141213
calendar41572287012880143183248320392456505
days46992287012887151223278
after50152287012880128168233281
the53342287012855127191
onset8512529012870142198264304
of11932529012879127
the13582529012849121185
rash15812529012857120176248
(first18672529012857105145194250291
serum)21962529012863129177248360407
and26402529012873145217
no28952529012879151
earlier30842529012873136186226266332379
than35012529012848120185256
10-1437952529012880151209281352
calendar41852529012872137177241312384448497
days47192529012880145217273
after50292529012872121161225274
the53412529012848120184
first851277101284788136192233
sample11222771012896160272342384448
(second16072771012889144208273344416488
serum).21332771012895160208279391438475
A264527710128143
fourfold28252771012888161233281330402442514
or337727710128111160
greater357427710128111161224287329393442
increase40532771012880152216265328393449514
in46042771012880152
the47932771012880152217
titer50472771012880120161226274
of535827710128111159
specific8513012012855127192255295345385449
IgG13373012012850122226
antibodies,16003012012864135176217289361435476540597634
when227430120128101172237308
tested26203012012841105161203267338
simultaneously2996301201285797209280321362427499563634706762803876
in39073012012843115
standard4059301201285899163234306371419491
serological45883012012856121169240281353425466531594634
tests52603012012841106162203259
on8513254012870142
paired10313254012871135175225288359
serum14283254012856121169240352
samples,18153254012857122233304344410465502
is2354325401284096
the24883254012840112177
basis27023254012871135191232288
for30283254012849120168
a32343254012863
diagnosis33343254012871112177248320392448489545