Clinical manifestations, complications, and hospitalizations of measles in children in Tikrit teaching hospital

Abstract

Measles is an acute, highly communicable viral illness usually transmitted via exposure toinfected respiratory secretions. There is a prodromal phase of 2–4 days with fever, conjunctivitis,coryza and Kopliks spots on the buccal mucosa. The characteristic maculopapular rash appears onthe third to seventh day, spreads over three to four days from the head over the trunk to theextremities and lasts for up to one week. Most of the patients feel unwell during the first day ortwo after the appearance of the rash. The aim of the study is to clarify the clinical presentations,complications and hospitalizations of measles in children. A cross sectional study of 160 cases ofmeasles who admitted to Tikrit teaching hospital in Tikrit city in period between first of Februaryand the end of July 2008 .In this study, the diagnosis of measles is based on clinicalmanifestations. For each of these hospitalizations, the following data were obtained: clinicalmanifestations, complications, length of stay in hospital, discharge status (i.e. death, ordinary orvoluntary discharge, transferred to other hospital), and main discharge diagnosis. The ages of 160patients with measles ranged from 11daysto17years. The severity of the disease was correlatedwith the younger age groups. Pneumonia was the common complication (63.32%) and cause of 3deaths (2%) in measles in infancy , young age patients were more liable to complications(91.87%)and staying in the hospital(median 4.74 days). As a conclusions; Measles was occurred mainly ininfancy because of suboptimal vaccine coverage, pneumonia is the most frequent complications ofmeasles and cause of mortality in measles in infancy, hospitalization is common in infancy ratherthan other age groups in measles due to development of complications.