Abstract
Introduction Measles still remains as one of the major causes of childhood morbidity and mortality in developing countries. In 2013, it was responsible for 2% of total deaths in children under five years of age. Measles related pneumonia (MRP) is the commonest cause of death in children with measles It may be associated with acute respiratory distress syndrome (ARDS) and pleural effusion (PE). We describe a case of severe measles related pneumonia with bilateral pleural effusion and ARDS in a 10 month old girl, successfully treated with high dose of methyl prednisolone, vitamin A and intravenous (IV) immunoglobulin during the outbreak in 2013.
Highlights
315,000/cu mm with an erythrocyte sedimentation childhood morbidity and mortality in developing countries[1]
Related pneumonia (MRP) is the commonest cause of death in children with measles[3]. It may be associated with acute respiratory distress syndrome (ARDS)[4] and pleural effusion (PE)[5]
Physical successfully treated with high dose of methyl examination on admission to medical intensive care unit (MICU) revealed prednisolone, vitamin A and intravenous (IV)
Summary
Management of severe measles related pneumonia, acute respiratory distress syndrome and pleural effusion with intravenous methyl prednisolone, immunoglobulin and oral vitamin A. Child was managed with IV cefuroxime, IV cloxacillin and oral erythromycin with a presumptive diagnosis of MRP related pneumonia (MRP) is the commonest cause of death in children with measles[3]. It may be associated with acute respiratory distress syndrome (ARDS)[4] and pleural effusion (PE)[5]. The patient was severe measles related pneumonia with bilateral pleural effusion and ARDS in a 10 month old girl, intubated and transferred to the medical intensive care unit (MICU) on 7th day of the illness. Bandaranaike Specialized Children's Hospital, Peradeniya, Sri Lanka, 3Registrar in Paediatrics, General Hospital, Jaffna, Sri Lanka
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