MEASLES


Introduction

It is a viral disease caused by paramyxovirus group of viruses spread by droplet infection. Measles mostly prevalent in spring seasons and in children. Sometimes it's going to be seen in adulthood.

 

INEFECTIVITY PERIOD

From onset of prodromal period to 4 days after appearing of rash

 

INCUBATION PERIOD

10 days generally

 

SIGN AND SYMPTOMS

There are three stages in whole 10 days

 

Prodromal stage

Starts with cold with watery nasal discharge, sneezing, watering from eyes and irritation of nose

Redness of eyes appear within one or two days

KOPLIK'S SPOT may be a significance of measles. it's a little white spot at the position of upper 3rd pre-molar tooth where parotid duct opens.

There could also be hoarseness of voice

Exanthematous stage

On 4th day there's a red macular or maculo-papular skin rashes appears behind ears and on forehead, afterward whole body.

Last stage or stage of recovery

After appearing of rashes, within 2-3 days rashes dissolve in faint brown stain followed by brown desquamation. Fever and malaise also subsides.

 

INVESTIGATIONS

POST MEASLES STATERoutine examination of blood shows leucopenia, means diminish of WBC count in peripheral blood

Flourescent antibody test are often done

Virus are often isolated from pharyngeal secretion.

 

COMPLICATION

Otitis media

Acute lobular pneumonia

Bronchitis or bronchiolitis

Corneal ulceration

Sub-acute Sclerosing Pan-encephalitis

There is chronic illness results characterized by anorexia[ loss of appetite ], diarrhea.

 

MANAGEMENT

Patient should be isolated

Complete bed rest

Patient should be kept in ventilated room

Regular irrigation of eyes

 

HOMEOPATHIC MEDICINES

PULSATILLA 30 one dose twice daily

GELSEMIUM 30 is another excellent medicine for measles

EUPHRESIA 30 can use in same manner

MORBILLIUM 30 for the prevention of measles

 

NEED DOCTOR'S CONSULTATION

 

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