BMJ Case Reports 2012; doi:10.1136/bcr.12.2011.5411
  • Reminder of important clinical lesson

A 6-year-old boy with fever, rash and severe pneumonia

  1. Peninnah Oberdorfer1
  1. 1Department of Pediatrics, Faculty of Medicine, Chiang Mai, Thailand
  2. 2Department of Emergency Medicine, Albuquerque, New Mexico, USA
  1. Correspondence to Dr Peninnah Oberdorfer, aoberdor{at}


The authors report a 6-year-old boy with fever, rash and cough. He was diagnosed with severe measles pneumonia and admitted to the paediatric intensive care unit with severe dyspnoea 8 days after symptom onset. He received intravenous antibiotics and high dose vitamin A. Three days later, he had recovered and was discharged home. He had not been vaccinated for measles, mumps and rubella according to the schedule. This case highlights the need for rapid diagnosis, appropriate treatment and determination of vaccination status of children with measles in order to prevent complications.


  • Competing interests None.

  • Patient consent Obtained.

Register for free content

The full text of all Editor's Choice articles and summaries of every article are free without registration

The full text of Images in ... articles are free to registered users

Only fellows can access the full text of case reports (apart from Editor's Choice) - become a fellow today, or encourage your institution to, so that together we can grow and develop this resource

Don't forget to sign up for content alerts so you keep up to date with all the case reports as they are published, and let us know what you think by commenting on the Editor's blog

Navigate This Article