Emine Füsun Karaşahin
1* 
, Ömer Karaşahin
2 1 Erzurum Public Health Directorate, Public Health, Erzurum, Turkey
2 Erzurum Regional Training and Research Hospital, Clinic of Infectious Diseases, Erzurum, Turkey
*Corresponding Author: *Corresponding Author: Emine Füsun Karaşahin, MD; Erzurum Provincial Health Directorate Presidency of Public Health Services, Üniversite Mah. Prof. Dr. İhsan Doğramacı Bulvarı Çatyolu Cad. 25240 Yakutiye, Erzurum, Turkey. Tel: +90-442-234 39 25; Email: , Email:
karasahinfusun@gmail.com
Abstract
The recent increase in measles cases will result in a higher incidence of associated complications. Hepatobiliary complications are among rare complications of measles. Here, we present a case of measles complicated by acute acalculous cholecystitis (AAC), which we believe to be only the second case reported in the literature. A 17-year-old woman presented with a maculopapular rash, high fever, sore throat, runny nose, nausea, and generalized body aches. Measles was diagnosed by anti-measles immunoglobulin M (IgM) positivity and a 4-fold increase in immunoglobulin G (IgG) 2 weeks later. On day 5, Murphy’s sign was positive and antibiotic therapy was initiated. Two days later, laparoscopic cholecystectomy was performed due to persistent fever and abdominal pain. The pathology result was consistent with nonspecific cholecystitis. As this case highlights, it should be kept in mind that AAC, which is a rare complication of the multisystem involvement caused by measles, can occur during recovery from the infection.