title: [Measles and subcutaneous emphysema. Presentation of 3 cases].
abstract: This is a three case study report of children with measles which later progressed to bronchopneumonia and subcutaneous emphysema. All three children were from farming families, and none had been previously vaccinate against measles. For a period of six months, 183 cases of measles were treated at our hospital of which only three worsened to subcutaneous emphysema, demonstrating an incidence rate of 1.6%; they also showed to have bronchopneumonia, with severe coughing episodes; which made us recall the possible physiopathology principle of the pressure gradient theory behind this complication proposed by Bloch in 1968. The factors related to our patients suggested a more severe and aggresive type of measles with a greater probability of having complications. The prognostic value of the severity of this type of measles in the presence of subcutaneous emphysema is limited and its management should be primarly focused on treating the added bronchial problem.
authors.affiliation: Hospital Rural de Solidaridad Papantla, Programa IMSS-Solidaridad, Veracruz, México.
authors.forename: J R
authors.initials: JR
authors.lastname: Montesano-Delfín
authors.forename: A
authors.initials: A
authors.lastname: Mascareñas-Ponce
mesh_terms: D000293:Adolescent; D002648:Child; D005260:Female; D006801:Humans; D008297:Male; D008457:Measles / Q000150:complications*; D013352:Subcutaneous Emphysema / Q000209:etiology* / Q000503:physiopathology
vernacular_title: Sarampión y enfisema subcutáneo. Presentación de tres casos.