PDF(Pubmed)
Abstract：
Measles is a highly infectious, vaccine-preventable viral disease that runs a devastating course in developing countries due to its association with malnutrition and poor immunization coverage. Subcutaneous emphysema (SE) is a rare complication of measles that can be challenging to manage and may portend poor outcomes if untreated. We present a case of a two-year-old unimmunized rural dweller who presented with facial, neck, and chest swellings three days after being managed for measles exanthem from a referral hospital. Clinical findings were consistent with massive SE comorbid with malnutrition complicating the convalescent stage of measles. The child failed to improve with conservative management but responded to closed thoracostomy tube drainage (CTTD) through an underwater seal bottle with intermittent negative pressure wound therapy (NPWT). The child spent 47 days in the hospital during which the social welfare unit of the hospital supported the treatment. SE is a rare complication of measles infection that can be challenging to manage, especially when comorbid with malnutrition in an indigent child. The application of a multidisciplinary team approach and the use of CTTD with NPWT may shorten the duration of hospital stay for the patient.
摘要：
麻疹具有高度传染性,疫苗可预防的病毒性疾病，由于其与营养不良和免疫覆盖率差有关，在发展中国家具有破坏性。皮下肺气肿（SE）是麻疹的一种罕见并发症，可能具有挑战性，如果不治疗，可能会导致不良结局。我们介绍了一例未接种疫苗的两岁农村居民，脖子,在转诊医院接受麻疹发作治疗三天后，胸部肿胀。临床发现与大量SE合并症和营养不良使麻疹恢复期复杂化一致。该儿童通过保守治疗未能改善，但通过水下密封瓶通过间歇性负压伤口治疗（NPWT）对封闭式胸腔造口管引流（CTD）做出了反应。这个孩子在医院呆了47天，在此期间，医院的社会福利部门支持治疗。SE是麻疹感染的罕见并发症，可能具有挑战性，尤其是当贫困儿童与营养不良共病时。多学科团队方法的应用以及CTTD与NPWT的使用可以缩短患者的住院时间。
