Measles and respiratory failure: Case report and review of the last European outbreaks

Leonel Lagunes, Ana Sofía Cruz-Solbes, Magda Campins, Jordi Rello

Research output: Contribution to journalArticleResearchpeer-review

Abstract

© 2015 Asian Pacific Tropical Medicine Press. Measles is an preventable acute viral illness, with the potential for severe and fatal complications. According to the European Centre for Disease Prevention and Control in the last surveillance report, a total of 10 271 cases of measles were reported from January to December 2013. And 127 of those were reported in Spain with a 2.7/1 million habitants rate. In 2010, the World Health Organization European Region made a new commitment to eradicate measles by 2015 in the zone, however, measles cases and outbreaks are still occurring in many countries. We present the last 2 cases with severe measles-associated respiratory failure and a review of the literature of the last European outbreaks. Two young adults were admitted in the intensive care unit due to respiratory failure with a confirmed measles infection. Both treated with high flow nasal cannula during 3 to 5 days; one had a pneumococcal pneumonia co-infection. An incomplete vaccination schedule was documented in one of them while the other did not remember his. Within 10 days of admission, both were discharged from intensive care unit and the hospital with no complications. Measles can present with a variety of symptoms in adults and is responsible for a high morbidity especially during outbreaks. Pneumonia is a severe complication of measles infection, commonly reported. Surveillance and vaccination programs should be strengthened in order to achieve measles elimination.
Original languageEnglish
Pages (from-to)669-672
JournalAsian Pacific Journal of Tropical Disease
Volume5
Issue number8
DOIs
Publication statusPublished - 1 Jan 2015

Keywords

  • Measles
  • Measles critical care
  • Measles outbreak
  • Measles-associated pneumonia

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