<- Home <- Arhive <- Vol. 25, Issue 4, December 2017

Rom J Leg Med25(4)342-345(2017)
© Romanian Society of Legal Medicine

Measles inclusion-body pneumonia: case report of an 18 months old girl autopsy

I. Z. Radu,

Abstract: Objective. The aim of this article is to highlight the main pathological characteristics observed in rare measles virus related deaths, that one may find during autopsy. The diagnosis is usually sustained due to presence of Warthin-Finkeldey giant syncytial cells in lungs and mucosa linings, while external examination characteristics, like Koplik spots, may not be observable.
Case report. We present the case of an 18 months old girl, admitted to the emergency care unit of our hospital with severe respiratory insufficiency, offering no other diagnostic clues for measles virus infection. The rapidity of evolution for this case resulted in, immediate, in-hospital death with no further possibility of revival. The autopsy revealed the presence of Warthin- Finkeldey cells inside the lungs together with liver congestion and cardiac failure.
Conclusion. Although, almost eradicated, measles continues to pose serious problems to medical doctors in both poor and civilized countries, because the disease evolves mutely, eventually, with serious life threating complications in some patients.
Keywords: measles virus, pneumonia, autopsy, children.

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