Learn the symptoms of measles and stay ahead of the virus by knowing the signs. Visit urgent care near you for expert advice and care.

Fountain City, a beloved Knoxville suburb, is home to the scenic Fountain City Park and popular spots like Litton’s Market & Restaurant. With local festivals, community events, and bustling shopping areas, it’s easy to come into contact with airborne viruses like measles. As a highly contagious viral infection, measles can cause serious health complications, and the virus can spread before symptoms even appear. Recognizing the early signs is crucial to preventing further spread and ensuring timely medical care. So, what are the key symptoms of measles, and how can you tell it apart from other illnesses?

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How Do Measles Symptoms Start?

Measles symptoms typically appear 7-14 days after exposure to the virus. The early signs often resemble those of the common cold or flu, making it difficult to diagnose right away. The initial symptoms include:

• High fever – Often begins mild but can spike to 104°F or higher.
• Cough – Persistent and dry, similar to a cold.
• Runny nose – Clear nasal discharge is common.
• Red, watery eyes – Also known as conjunctivitis, causing sensitivity to light.

During this early phase, an infected person is already contagious, even before the hallmark measles rash appears.

What Are Koplik Spots, and Why Are They Important?

One of the most distinctive signs of measles is the presence of Koplik spots, which appear inside the mouth. These tiny white spots with a bluish center typically develop on the inner cheeks a day or two before the measles rash. While not always noticed, their presence is a strong indicator of measles infection.

When Does the Measles Rash Appear?

The telltale measles rash generally appears 3-5 days after initial symptoms. It follows a distinct pattern:

• Starts on the face and behind the ears.
• Spreads downward to the neck, trunk, arms, and legs.
• Begins as flat red spots, which may later join together.
• Can be slightly raised and feel rough to the touch.

As the rash spreads, the fever often spikes, making this the most intense phase of the illness.

How Long Do Measles Symptoms Last?

The measles infection follows a predictable timeline:

• Incubation period (7-14 days) – No symptoms yet, but the virus is multiplying in the body.
• Initial symptoms (2-4 days) – Fever, cough, runny nose, and red eyes begin.
• Rash phase (4-7 days) – The rash develops and spreads, accompanied by high fever.
• Recovery (1-2 weeks) – The rash fades, but lingering cough and fatigue may persist.

After the rash fades, some individuals experience skin peeling where the rash was most severe. However, the contagious period ends about four days after the rash first appears.

What Are the Complications of Measles?

While most people recover fully, measles can cause serious complications, particularly in young children, pregnant women, and those with weakened immune systems. Potential complications include:

• Ear infections – A common secondary issue, potentially leading to hearing loss.
• Diarrhea and dehydration – Especially dangerous for young children.
• Pneumonia – A leading cause of measles-related deaths.
• Encephalitis – A rare but severe brain swelling that can cause seizures or brain damage.

When Should You Seek Medical Care?

If you suspect measles, it’s important to take immediate action:

• Call ahead – This allows healthcare providers to take precautions to prevent spreading the virus.
• Monitor for complications – Seek emergency care if there is difficulty breathing, severe dehydration, or seizures.
• Isolate to prevent transmission – Avoid public places and stay home until at least four days after the rash appears.

Measles is more than just a rash – it is a serious illness with potentially severe complications. Recognizing the symptoms early and seeking medical advice can help protect both individuals and the wider community. Vaccination remains the best defense against measles, reducing the risk of infection and preventing outbreaks.