PBL+Case+III+-+Measles


 * PBL Case III - Measles **

Six year old Soham was having fever since last 3 days, associated with excessive nasal discharge and cough. His poor parents wanted to take him to the doctor available at the Primary Health Centre but did not take him on account of fear of loss of their daily wages. However, Soham’s mother was worried today morning as Soham developed some dusky red rash over his face, neck and body. Apart from this, his eyes were red with watering from his eyes. His mother decided to take him to the primary health centre. On visiting the PHC, a detailed history on Soham’s presenting symptoms was sought by the doctor, followed by his dietary and immunization history. Soham’s weight was 16 kgs and he was fed only 2 times a day. His mother informed that he had received only 3 vaccines on alternate side and was not sure as to which vaccines they were. Also she had lost the immunization card of Soham. Soham was examined by the doctor and apart from rash all over the body the doctor could also see some spots inside Soham’s mouth. The doctor informed Soham’s mother that he was probably suffering from measles and prescribed him appropriately. The doctor also advised against doing any further investigations. He also advised Soham’s mother to report immediately if she found that Soham developed diarrhoea, rapid breathing or any other respiratory symptoms or pain in ears. The ANM present at the PHC also counselled Soham’s mother on caring for his nutrition and immunization. The doctor noted the details of Soham and his family including the address and sent the information to the District health system.

References -
 * Park's Textbook of Preventive and Social Medicine. 20th edition.
 * Textbook of Public Health and Community Medicine; AFMC, Pune. 1st edition

Global measles and rubella strategic plan : 2012-2020. http://www.who.int/immunization/newsroom/Measles_Rubella_StrategicPlan_2012_2020.pdf
http://www.unicef.org/india/Operational_guideline_for_Measles_catch_up_immunization_campaign__MoHFW_GoI_(English).pdf