Measles increasingly complex developments

Jun 6th 2014 at 10:13 PM

With the unpredictable current, experts fear the number of children with measles and deaths will increase in the future.Measles complicated Preventing measles are on the rise Many children with measles, mumps unseasonal

While epidemiological experts warn strains of measles in the southern region is a new strain penetration, based on clinical features of measles patients, many doctors have confirmed the disease progresses more unusual.

Emergence of new measles virus

Prof. Dr. Phan Trong Lan, HCMC Pasteur Institute, said it had identified the measles virus in the southern region D8 strain. This is a new strain of measles virus first appeared in the South but ever more isolated in China, Japan, Malaysia ..

Mr. Lan added, while cases of measles occurred in the area previously Men were caused by measles virus strains H1, ​​the epidemiological investigation results have recently discovered virus strain is primarily the D8. There has been a 19 southern provinces have confirmed cases, measles outbreak.

The number of cases is increasing, mainly in HCMC. Notably, during the measles epidemic has infected 43% of children under 18 months of age, particularly 13% less than 9 months. "This is new since the previous outbreak, in 2009-2010, measles objects mostly teenagers, students and students" - he once remarked.

But not as scary boom time in 2010 but according to the comments of the experts and the treating physician, the measles are unpredictable. Recorded at the hospital (BV), patients on therapy departments in Hanoi shows the number of patients hospitalized with measles spike. Prof. Dr. Bui Huy Vu,

Head of Pediatrics Central Hospital for Tropical Diseases (Hanoi), said measles outbreak is widespread. At this point, Pediatrics Hospital is treating more than 70 patients, many of these children with uncomplicated pneumonia , respiratory failure, mechanical ventilation. There were 5 children deaths from complications of measles.

Measles increasingly complex evolutions 1
Pediatric patients with measles complications of pneumonia are treated at Bach Mai Hospital
Seriously ill, to die

Pediatrics at Bach Mai Hospital and the Central Hospital for Tropical Diseases, in addition to the usual cases of measles, recently appeared uncomplicated cases of measles pneumonia but very rapid disease progression leading to progressive respiratory failure and death casualties. According to Prof. Dr. Nguyen Tien Dung,

head of Bach Mai Hospital Pediatrics, had 2 measles patients hospitalized with acute respiratory distress syndrome progresses, including one who had died, the remaining cases are mechanically ventilated in severe lung inflammation.

"Pneumonia fast movements, causing respiratory failure, life-threatening measles patients who did not have chronic diseases is quite extraordinary phenomenon" - Prof. Dung shared.

According to Dr. Dung, pediatric patients 12 months of age at the date of death Hanoi 15-2 is a typical case of state respiratory failure acute. At the time of admission, patients with fever, rash, inflammation of the airways dragon. Notably, in this case pneumonia progresses rapidly, after only a few hours, the lungs were white, enlarged heart, enlarged liver

... he was put young ventilator but almost no response. Here, in addition to not being vaccinated against measles vaccines, the children had no history of any other disease. "With this case, we're thinking ability even virus attacks the lungs but not like normal children with pneumonia complicated by bacterial superinfection other.

The children with the virus directly attacks the lungs almost never seen in patients with measles. This is a very important point to note indicated treatment. Because if bacterial pneumonia is antibiotics, but if so, the virus needs to be more consistent indications.

In particular, viral pneumonia dangerous because they cause severe illness, changes very fast, high mortality risk "- Prof. Dung concerns.

Prior to the current epidemic development, experts said measles incidence and mortality will increase.

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