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Severe laryngotracheobronchitis complicating measles
J D Fortenberry1, M M Mariscalco, P T Louis
1Department of Pediatrics, Baylor College of Medicine, Houston, Tex.
American Journal of Diseases of Children (1960)
|September 1, 1992
Summary
Severe laryngotracheobronchitis is a frequent complication in young children hospitalized with measles, often linked to superinfections. Early airway assessment and intervention are crucial for managing this severe measles complication.
Area of Science:
- Pediatrics
- Infectious Diseases
- Pulmonology
Background:
- Measles outbreaks can lead to severe respiratory complications.
- Laryngotracheobronchitis is a serious airway inflammation that can occur in children with measles.
Purpose of the Study:
- To determine the incidence of severe measles-related laryngotracheobronchitis.
- To evaluate factors associated with airway injury severity and its management in measles patients.
Main Methods:
- A clinical description of a patient series was conducted.
- 124 children (1 month to 19 years) admitted with measles were analyzed.
Main Results:
- 27 patients had significant laryngotracheobronchitis; 10 were unvaccinated.
- Six patients required endotracheal intubation for airway obstruction; two died from superinfection.
- Early laryngoscopy and bronchoscopy were associated with shorter airway support.
Conclusions:
- Severe laryngotracheobronchitis is common in measles patients under 2 years, potentially due to superinfection.
- Early diagnostic procedures and interventions like tracheostomy may reduce airway complication incidence.