What to do with measles in children?

Written by Yan Xin Liang
Pediatrics
Updated on September 06, 2024
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Measles in children is a disease caused by a viral infection that leads to fever and rash. It is prone to complications such as pneumonia, as well as myocarditis, encephalitis, etc., so it is crucial to take measles seriously and seek medical attention promptly. Initially, antivirals can be administered, along with treatments to reduce heat and fever. If complications like pneumonia, myocarditis, or encephalitis occur, timely appropriate treatments should also be given.

Furthermore, when a child contracts measles, it is important to avoid going out since it is an infectious disease that can easily spread to other children, thus outings should be temporarily avoided. During the rash phase, nursing care should be intensified, body temperature should be monitored, and attention should be paid to the child’s breathing, mental response, and other conditions. The diet should be light, allowing the child to eat more fruits and vegetables, and ensuring frequent changing of clothes and maintaining skin cleanliness and hygiene.

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The difference between roseola infantum and measles

The differences between baby roseola and measles mainly include the following points: Firstly, the causative pathogens are different. Baby roseola is caused by the infection of human herpesvirus 6, whereas measles is caused by the measles virus. Secondly, the symptoms of fever differ. Typically, in baby roseola, a rash appears after 3-5 days of fever as the fever subsides; in measles, a rash appears after 3-4 days of fever, during which the temperature may actually increase. Thirdly, the prognosis differs. Baby roseola is a relatively common disease that generally heals gradually as the fever and rash subside. If measles is not treated, it may lead to severe symptoms and potentially leave some sequelae. Lastly, their treatments are also different.

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What is the difference between measles and leprosy?

Measles and leprosy are diseases with significant differences. Firstly, fundamentally, measles is caused by the measles virus, while leprosy is caused by the leprosy bacillus. Secondly, in terms of the disease course, measles is an acute infectious disease with a rapid onset, whereas leprosy is a chronic infectious disease with a slow onset and disease progression. Lastly, in terms of treatment, measles is mainly treated with antiviral symptomatic therapy, while leprosy is treated with antibiotics and other drugs.

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What should I do about baby measles?

The main treatments for measles in infants include symptomatic treatment, enhanced care, and prevention of complications. Children with measles should rest in bed, maintain a suitable indoor temperature and air circulation, avoid strong light exposure, and ensure cleanliness of the skin, eyes, and mouth. Encourage them to drink plenty of water and provide easily digestible, nutritionally rich food. For fever, a small dose of antipyretic can be used as appropriate, but rapid fever reduction should be avoided, especially during the initial diagnosis period. Cough may be treated with nebulization and cough suppressants. It is necessary to supplement vitamins. Appropriate treatments should be given for complications, and antibiotics should be provided for secondary infections.

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Is baby rash measles?

Roseola infantum, also known as roseola, is characterized mainly by a fever lasting three to four days followed by the appearance of a rash as the fever subsides. This viral infection is caused by human herpesvirus types 6 and 7. Roseola is not measles, although both conditions involve a high fever followed by a rash. However, during the rash phase of measles, the fever continues to rise, accompanied by other respiratory symptoms. Consequently, the fever in measles lasts much longer compared to roseola, where the rash appears after the fever subsides. The presentation of the rash in roseola is distinctly different from that of measles, hence roseola is not referred to as measles. However, roseola is sometimes known by another name, German measles, which should not be confused with regular measles. The name "German measles" stems from the similarity of the rash in roseola to that of measles.

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Is measles easy to treat?

Measles is an acute respiratory infectious disease caused by the measles virus. The main symptoms include fever, cough, runny nose, conjunctivitis, oral measles mucosal spots, and skin maculopapular rashes. Simple measles is easy to treat with a good prognosis. However, individuals in poor general condition or with low immunity may develop a severe form of measles with a higher mortality rate. There is no specific antiviral treatment for measles; treatment is mainly supportive and symptomatic. For high fever, small doses of antipyretics or physical cooling measures should be used, but the body's temperature should not be reduced to normal as this can delay the appearance of the rash and prolong the illness. Cough suppressants and expectorants can be used for coughing. For weak or severely ill children, early injection of immunoglobulin is recommended, followed by the prevention and treatment of complications such as laryngitis, pneumonia, myocarditis, and encephalitis.