Saturday 21 May 2016

Complications of Measles

Nice easy rule to remember the complications of measles; the rule of tens.


10% Otitis media

1% Pneumonia 
(make sure you discriminate viral from bacterial pneumonia in this case. Viral pneumonia caused by measles itself will be concomitant with the rash. Bacterial pneumonia caused by co-infection will appear 1-2 days after the rash has gone.)

0.1% Meningoencephalitis 
(another nice little division here is in quarters; 50% will be cured and fine after measles meningoencephalitis, 25% will have some kind of neurologic sequele and 25% will die! this is the reason we vaccinate people with the MMR vaccine!)

0.00001% Panencephalitis
(this occurs many years (average 7 years) after measles infection and for most means death, another good reason to vaccinate with the live vaccine unless you are immuno-compromised of course)

Other complications: Diarrhoea (most common), Seizures (as rare as meningitis)

(Measles mickey, a reference to the measles outbreak in Disneyland)

1 comment:

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