The radiological aspects of chest complication in childhood measles

Insights

Measles in Nigerian children frequently causes lung complications like perihilar and diffuse infiltrates. Cardiomegaly and atelectasis were also observed, with right-sided lesions common in atelectasis and consolidation.

Area of Science:

  • Pediatric Radiology
  • Infectious Diseases
  • Pulmonology

Background:

  • Measles is a significant cause of childhood illness globally.
  • Complications of measles can affect the pulmonary and cardiac systems.
  • Radiographic findings in pediatric measles complications require detailed characterization.

Purpose of the Study:

  • To systematically analyze chest radiograph findings in Nigerian children with measles complications.
  • To identify the prevalence of various pulmonary and cardiac abnormalities.

Main Methods:

  • Systematic review of chest radiographs.
  • Study included 335 Nigerian children with measles complications.
  • Analysis focused on identifying specific radiographic abnormalities.

Main Results:

  • Perihilar (88%) and diffuse (69%) pulmonary infiltrates were most common.
  • Segmental consolidation (34%), emphysema (20%), cardiomegaly (12%), and atelectasis (10%) were also observed.
  • Pneumothorax (7%), pleural effusion (4%), and emphysema (2.5%) were less frequent; right-sided lesions predominated in atelectasis and consolidation.

Conclusions:

  • Chest radiography reveals a high incidence of pulmonary infiltrates in children with measles.
  • Cardiac and other pulmonary complications like consolidation and atelectasis are significant.
  • Findings highlight the spectrum of radiographic manifestations of measles in children.

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