Examine the patient for nondermatologic findings, such as lymphadenopathy, abdominal pain, arthritis, and cardiac murmurs, that may correlate with certain etiologies.
Immediately place patients with suspected measles on airborne precautions, including a negative pressure room, and N-95 respirators for the healthcare staff.
Treat patients with an acute case of measles, especially immunocompromised patients, with vitamin A to decrease the risk of associated complications, such as pneumonia, hearing loss, blindness, or death.
Use the revised Jones criteria to diagnosis acute rheumatic fever, in addition to ordering a CBC, ESR, CRP, ASO, ECG, and echocardiogram.
Order aspirin or naproxen for carditis in acute rheumatic fever. Consider corticosteroids in addi-tion to IVIG in patients with moderate to severe carditis.