A family who recently emigrated from Romania brings their 7-year-old child to the pediatrician with complaints of conjunctivitis and periorbital swelling. The child has had coughing with a runny nose and high fever for three days. Small lesions with blue-white centers are seen in his oral cavity. Which of the following is the most likely cause of this child’s symptoms?
一个最近从罗马尼亚移民的家庭，他们有结膜炎和眶周肿胀主诉的7岁孩子去看儿科医生。这孩子咳嗽、流鼻涕、发高烧已经三天了。口腔内可见蓝白色中心的小病变。下列哪一项是这个孩子症状最可能的原因?
(A) Diphtheria 白喉
(B) Pertussis 百日咳
(C) Roseola 红疹
(D) Rubella 风疹
(E) Rubeola 麻疹
答案解析：
麻疹在美国是一种相对罕见的疾病，因为麻疹/腮腺炎/风疹(MMR)疫苗无处不在。它表现为该患者所描述的前驱症状。Koplik’s spots（科普利克斑）是一种以蓝白色为中心的红色口腔病变，在出现后的一到两天内，皮疹会在三天内从头部蔓延到脚趾。
正确答案：E
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