Endocrine Abstracts

Introduction: Measles virus infections generally occur in childhood, but infections in adolescence and adulthood can lead to complications.

Case report: A previously well 28-year-old woman had suffered from nausea, vomiting and generalized fatique for one day before being transferred to our emergency department in a confused state. A diagnosis of type 1 diabetes mellitus (T1D) complicated by ketoacidosis was made based on markedly decreased serum C-peptide level, antiGAD positivity, ketonuria and metabolic acidosis. She was treated by intravenous infusion of saline and insulin and eventually switched to intensive insulin therapy four times a day. On the second day of hospitalisation she developed bilateral facial paralysis. Serological testing for several viral antibodies revealed significant elevation of the measles IgM and IgG titers. One week later, the patient’s facial weakness had improved spontaneously with no residual weakness.

Conclusion: Our case is interesting due to coexistence of bilateral facial paralysis, new onset T1D and measles. And there is not a similar case in the literature. Although there are limitations with respect to the true relation between measles and these two manifestations, this clinical picture should be kept in mind as a possible atypical presentation of measles infection in adults.

Declaration of interest: The authors declare that there is no conflict of interest that could be perceived as prejudicing the impartiality of the research project.

Funding: This research did not receive any specific grant from any funding agency in the public, commercial or not-for-profit sector.