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Published on: June 24, 2020
Measles enteritis in infants and children
I Tamboen1, A B Sinuhaji, A H Sutanto
1Department of Child Health, School of Medicine, University of North Sumatera/Dr. Pirngadi Hospital, Medan.
Abstract:
The incidence, mortality and clinical features of measles enteritis were reported among 6484 infants and children admitted to the Pediatric Ward Dr. Pirngadi General Hospital Medan from 1st January 1987 until 31st December 1988. Of these 6484 children, 2685 suffered from gastroenteritis and 82 from measles. There were 31 cases of measles enteritis (1.2% of all gastroenteritis cases or 37.8% of measles cases). Most of measles enteritis cases (74.2%) were in the age group of 6-24 months and no case was found under six months old. The mortality of measles enteritis with bronchopneumonia and encephalitis was 25.0% while the mortality of measles enteritis with bronchopneumonia was 13.3%. There were no deaths in children just with measles enteritis alone. The overall mortality of measles enteritis with or without accompanying disease was 12.9%. The age specific death rate of measles enteritis was highest (23.1%) in the 13-24 month age group.
Insights
Measles enteritis affected 31 children, primarily those aged 6-24 months. Complications like bronchopneumonia and encephalitis significantly increased mortality rates in measles patients.
Area of Science:
- Pediatrics
- Infectious Diseases
- Gastroenterology
Background:
- Measles is a significant infectious disease in children.
- Measles enteritis is a serious complication.
- Data on measles enteritis incidence and outcomes are crucial.
Purpose of the Study:
- To determine the incidence and mortality of measles enteritis.
- To describe the clinical features and risk factors.
- To analyze age-specific mortality rates.
Main Methods:
- Retrospective study of 6484 pediatric admissions.
- Analysis of cases of measles enteritis from January 1987 to December 1988.
- Comparison of mortality rates based on accompanying conditions.
Main Results:
- 31 cases of measles enteritis were identified (1.2% of gastroenteritis, 37.8% of measles cases).
- Most cases (74.2%) were in infants aged 6-24 months; none under six months.
- Overall mortality was 12.9%, with higher rates for measles enteritis combined with bronchopneumonia (13.3%) and encephalitis (25.0%).
Conclusions:
- Measles enteritis is a notable complication in infants and young children.
- Age and co-existing conditions like bronchopneumonia and encephalitis are critical determinants of mortality.
- Early recognition and management are vital for improving outcomes in measles enteritis.
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