Unusual presentation of measles giant cell pneumonia in a patient with acquired immunodeficiency syndrome

The typical clinical presentation of measles in a normal immunocompetent ho st includes cough, coryza, conjunctivitis, Koplik's spots, and rash. Howeve r, in an immunocompromised host, measles may have an atypical clinical pres entation and may be commonly associated with severe pneumonia or encephalit is. We report a fatal case of measles pneumonia without any clinical featur es that suggest measles in a patient with acquired immunodeficiency syndrom e.