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Showing posts with label Measeles. Show all posts
Showing posts with label Measeles. Show all posts

Thursday, April 7, 2011

Measles: Causes And Symptoms

Causes

Measles is one of the most common childhood diseases. It is a viral infection which affect mainly the skin and respiratory tract. For most children this means seven to ten days of high temperature, coughing, rash and misery. Also, not all children have the disease in its simple from and there are some possible complications ranging from mild to very serious indeed. Because it is a viral infection, measles dose not respond to antibiotics. However, many of the complications which can accompany measles are bacterial and therefore can be treated with antibiotics.
Fortunately, tough, the illness is avoidable. The measles vaccine offers almost 100% protection and its enthusiastic use in the USA has meant that the disease will probably vanish altogether from the United States in the next few years. Measles is caused by a virus which is passed on when a child breathes in the infected droplets sprayed into the air when a person who already has the illness coughs or sneezes. The disease is infectious for about ten days, from several days before the rash appears until about a week afterwards.

Symptoms

Once in the bloodstream, the virus spreads rapidly to various parts of the body where it multiplies during the eight to fourteen day incubation period. The first signs of illness occur at the end of the time when the child develops a streaming nose and sore, red, swollen eyes. The throat may be sore and the child is usually racked with a dry, irritating cough. There is a rise in temperature usually more marked in the evening to between 37.2°C and 38.3°C (99 °F and 101 °F). the child becomes miserable and loses his or her appetite. In addition, all interest in playing may be lost and the child will not want the company of friends.
During this stage, before the rash appears appears, a positive diagnosis can sometimes be made by observing Koplik’s spots surrounded by a red halo on the mouth and are a tell-tale sign of measles. Two or three days after the first signs of the illness, the rash begins behind the ears and on the forehead. It then spreads downwards until , after a further two or three days, the whole body is covered. At first the spots are dull, red, slightly raised and little larger than a pinhead. They quickly enlarge up to about 1 cm (1/2 in) in diameter and join together to from larger irregular blotches. As this happening, the fever raises to between 40°C and 40.5°C (104°F and 105°F) and child feels extremely ill, looks very unhappy and may sound very ‘chesty’. The rash us its worst for about three days before slowly fading. Then the temperature falls and the child feels much better about seven to ten days after the symptoms first appeared: he or she will no longer be infectious. Before  the rash has appeared the illness may be mistaken for a heavy cold but the red, swollen eyes and general misery are clues to the true cause. Occasionally the rash is initially mistaken for German measles the child is far less and the rash is pinker, finer and rarely blotchy.  

Measles-Complication And Immunization

Complication

The most serious of the complication encephalitis (inflammation of the brain) affects about one in a thousand measles sufferers. This complication usually occurs as the child is beginning to recover and may start with a convulsion or loss of consciousness or, less suddenly, with excessive drowsiness, hallucination, confusion or other unusual behavior. All such children need urgent hospital admission. However, convulsions (fever fits) not uncommon in children under five who have a high temperature, recovery from febrile convulsions is rapid and, thought frightening, the condition is seldom harmful, but medical advice should be sought. About four in a hundred children develop pneumonia as the virus invades the lungs. Signs of this are rapid breathing, tightness or pain in the chest and a worsening cough. In general, this condition merely prolongs the time that the child is ill, but sometimes antibiotic treatment is necessary. Group, with its ringing, metallic-sounding dry cough may develop at the height of measles but usually this is not serious. However, if the child’s lips appear blue and the chest wall between the ribs is sucked in with each breath, urgent medical attention must be sought. Painful ear infection occur in about one in fifty cases but they generally get better, leaving no problem behind. some doctors will prescribe antibiotics if the child has earache or signs of bronchitis or pneumonia, others prefer to ‘wait and see’. Contacts need not be quarantined. In the UK about 20 children die of measles each year, either from encephalitis or because they already have some serious physical defect or illness when they catch measles twice-if this seems to happen then one of the diagnoses was or is almost certainly wrong.

Immunization

The vaccine is given in one injection and afterwards a mild illness may occasionally follow with a couple of days of slight temperature and sometimes a rash, seven to ten days after vaccination. Very rarely a child susceptible to fever fits will have one. The vaccine should be given soon after the first birthday at a time when the child is well and no holiday or other important family event is due within the next seven to fourteen days. vaccination is unsafe for children who have leukemia or similar diseases, those receiving steroids, for example after a transplant , or anticancer drugs. Doctor also take special precaustions where a child has had convulsion or severe, chronic illness of lungs or heart. In the past, children known to be allergic to eggs where advised to avoid measles vaccine, but this is no longer the case. The vaccine is extremely effective.