Clinical Findings Suggesting Severe Measles

 

Pathogenesis of complications:

(1) direct viral infection

(2) secondary bacterial or fungal infection

(3) pre-existing malnutrition, vitamin A deficiency or other comorbid conditions

 

Major complications in measles:

(1) viral pneumonia with or without secondary bacterial pneumonia

(2) tracheobronchitis which may range from croup to necrotizing tracheitis

(3) viral gastroenteritis with diarrhea, malnutrition and dehydration

(4) viral encephalitis

(5) otitis media with or without mastoiditis

(6) severe stomatitis and ulcerations with or without secondary bacterial or yeast infection

(7) xerophthalmia with corneal clouding, ulceration, secondary bacterial infection and blindness