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Coinfection is common in measles-associated pneumonia.
- Source :
-
The Pediatric infectious disease journal [Pediatr Infect Dis J] 1998 Feb; Vol. 17 (2), pp. 89-93. - Publication Year :
- 1998
-
Abstract
- Background: Measles continues to be a significant health problem in developing countries.<br />Objectives: To describe the clinical features of measles-associated pneumonia (MAP) and to identify other pathogens involved.<br />Methods: Measles diagnosis was ascertained either by the typical symptom complex or by a sensitive enzyme immunoassay for antibody among children < 5 years of age admitted to the hospital with pneumonia. Other pathogens were identified by blood culture, virus isolation or antigen detection from nasopharyngeal aspirate and antibody determination from serum.<br />Results: Of 182 MAP cases 162 (89%) had clinically typical measles. Twenty patients had a diagnostic antibody finding with an atypical clinical presentation. Thirteen percent were younger than 9 months of age. The case fatality rate was 17%, with a significantly increased odds ratio (OR) for those with cyanosis [OR 4.6, 95% confidence interval (CI) 1.7 to 13], respiratory rate > or = 60/min (OR 3, 95% CI 1.3 to 7) or fulfilling criteria for very severe pneumonia (OR 5.3, 95% CI 2.3 to 12). Mixed infection was found in 53% of patients. Blood culture was positive in 10 patients, Streptococcus pneumoniae (N = 5) being the most common finding. Adenovirus (19%) and parainfluenza (25%) viruses were the most frequent other viruses. A dense infiltrate was seen significantly more often among measles patients with bacterial coinfection (87.5%) than those with other viruses (36%, P = 0.007) or no evidence of other infection (33%, P = 0.004).<br />Conclusion: In MAP, coinfection with other microbes is common. Cyanosis and a respiratory rate of > or = 60/min predict a greater risk of dying.
Details
- Language :
- English
- ISSN :
- 0891-3668
- Volume :
- 17
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- The Pediatric infectious disease journal
- Publication Type :
- Academic Journal
- Accession number :
- 9493801
- Full Text :
- https://doi.org/10.1097/00006454-199802000-00002