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Protocol and Guidelines for Point-of-Care Lung Ultrasound in Diagnosing Neonatal Pulmonary Diseases Based on International Expert Consensus
Published on: March 6, 2019
The radiological aspects of chest complication in childhood measles
Abstract:
Chest radiographs of 335 Nigerian children presenting with pulmonary and cardiac complications of measles were studied systematically. Perihilar (88%) and diffuse (69%) pulmonary infiltrates were the commonest findings. Other abnormalities included segmental consolidation (34%), emphysema (20%), cardiomegaly (12%) and atelectasis (10%). Pneumothorax and pleural effusion were seen in 24 (7%) and 14 (4%) children respectively. Eight children (2.5%) had subcutaneous and mediastinal emphysema. In patients with atelectasis and segmental consolidation there was a striking preponderance of right sided lesions.
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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