Doctors from Malta have described how complications from measles affected three patients in three different ways, infecting the appendix, the liver and the meninges.

They reported on patients with complications secondary to measles who were treated at their hospital, Mater Dei Hospital in Msida, in 2019 in BMJ Case Reports.

Dr Thelma Xerri and colleagues said the patients were either not immunised or not fully immunised and presented in a similar way but had different complications.

The patients were part of the global 2019 spike in measles cases, with major outbreaks in the US, Europe, Africa and Asia. Most people who became infected had not received the MMR vaccine.