@Article{, title={Clinical and Epidemiological Study of Measles Cases in Central Teaching Hospital of Pediatrics in Babylon Province}, author={Ali Khalid Mohammed and Ahmed Raheem Nasir and Muhanned Muhdy Joda Alsweedy}, journal={Medical Journal of Babylon مجلة بابل الطبية}, volume={19}, number={4}, pages={518-521}, year={2022}, abstract={Background: It is an acute highly contagious disease occurs frequently in young children. It consists of three stages: An incubationstage of approximately 10–12 days. Prodromal stage with an enanthem (Koplik’s spots) on the buccal and pharyngeal mucosa, lowgrade fever, conjunctivitis, coryza, and sometimes-increasing cough. A final stage of a maculopopular rash erupting over the neck andface, body, arms, and legs associated with high fever. Objectives: The aim of this study was to determine the epidemiology, clinicalfeatures, complications, effectiveness of vaccine and treatment on cases of measles. Materials and Methods: Prospective case study ofmeasles cases who are less than 13 years of age admitted to central teaching hospital of pediatrics during the period between 1/4/2015-1/10/2015 Diagnosis of measles was done by the classical history of the prodromal, fever, and cough, conjunctivitis, followed by theappearance of the classical rash after few days of the prodromal stage with the presence of the path gnomonic Kopliks spots in somepatients. Chest X-rays (CXR) was done to all patients with suspicion of pneumonia. In addition to CBC and blood film. GSE wasdone to all patients with gastroenteritis, in addition to CBC. blood film and stool culture. Results: Two hundred seventy-seven patientswere studied The male patients were (158, 57.03%) patients and the females were (119, 42.97%) patients, most of them (203, 73.28%)were not vaccinated (74, 26.72%) patients received the first dose of the vaccine at age of 9 months (21, 7.58%) patients received thefirst dose at 9 months with the second dose (MMR) at age of 15 months and only three patients (1.08%) received first, second, andthird dose (MMR) at age of 4 years. The commonest clinical features were rash, fever, cough, conjunctivitis with coryza. Pneumoniawas the commonest complication followed by gastroenteritis. There are only two cases of death: one due to severe pneumonia andthe other due to septicemia and its complications. Conclusion: Measles is still a major health problem even in vaccinated children andthe severity of illness is the same in both vaccinated and non-vaccinated children, with the peak age of incidence is during the secondhalf of first year of life.

} }