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Measles enteritis in Gunung Wenang General Hospital Manado
1Department of Child Health Medical School, Sam Ratulangi University, Manado-Indonesia.
Abstract:
The incidence and mortality rate of 48 measles enteritis cases has been evaluated retrospectively, during the period of January 1986 to December 1989. Children under 2 years old were 21 cases (43.8%), between 2-5 years old 16 cases (33.3%) and more than 5 years old 11 cases (22.9%). Nutritional status based on the classification of Wellcome Trust Working Party revealed normal 33 (68.8%), moderate malnutrition 12 (25%) and severe malnutrition 3 cases (6.3%). Diarrhea and mild dehydration was found in 36 (75%), moderate dehydration 10 (20.83%) and severe dehydration 2 cases (4.2%) Six (12.5%) out of 48 cases had had measles vaccination. Twenty four cases (50%) of measles enteritis had other complications. The mortality rate was 2.1% comprising one patient, who suffered from measles enteritis with severe dehydration, bronchopneumonia, encephalitis and severe malnutrition.
Insights
Measles enteritis affects young children, with malnutrition and dehydration being significant risk factors. This retrospective study evaluated 48 cases, highlighting the importance of vaccination and prompt treatment for measles complications.
Area of Science:
- Pediatrics
- Infectious Diseases
- Gastroenterology
Background:
- Measles enteritis is a serious complication of measles, particularly in young children.
- Understanding the epidemiological and clinical characteristics of measles enteritis is crucial for public health interventions.
Purpose of the Study:
- To evaluate the incidence and mortality rates of measles enteritis.
- To identify risk factors and common complications associated with measles enteritis.
Main Methods:
- Retrospective analysis of 48 measles enteritis cases from January 1986 to December 1989.
- Data collected on patient demographics, nutritional status, dehydration levels, vaccination history, and complications.
Main Results:
- The study included 48 cases, with the highest incidence in children under 5 years old (77.1%).
- Malnutrition was prevalent, with 31.3% of cases showing moderate to severe malnutrition.
- Diarrhea and dehydration were common, with 25% of cases experiencing moderate to severe dehydration. Fifty percent of cases had other complications, and the mortality rate was 2.1%.
Conclusions:
- Measles enteritis poses a significant threat, especially to unvaccinated children with poor nutritional status and dehydration.
- Prompt medical attention and supportive care are vital for managing measles enteritis and its complications.
- Vaccination remains a key preventive strategy against measles and its severe sequelae.
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