Encephalitis occurs in about one in one thousand cases. A child with encephalitis may have a general danger sign such as convulsions or lethargic or unconscious. Measles contributes to malnutrition because it causes diarrhoea, high fever and mouth ulcers. These problems interfere with feeding. Malnourished children are more likely to have severe complications due to measles. This is especially true for children who are deficient in vitamin A. One in ten severely malnourished children with measles may die.
For this reason, it is very important to help the mother to continue to feed her child during measles.
5.1 ASSESS FEVERA child has the main symptom fever if: * the child
has a history of fever or * the child feels hot or
* the child has an axillary temperature of Cor above. Decide the malaria risk (high or low. Then assess a child with fever for how long the child has had fever history of measles stiff neck bulging fontanelle runny nose signs suggesting measles -- which are generalized
rash and one of these cough, runny nose, or red eyes. if the child has measles now or within the last 3 months, assess for signs of measles complications.
They are mouth ulcers, pus draining from the eye and clouding of the cornea. The box shown below lists the steps for assessing a child for fever. There are two parts to the box. The main box describes how to assess the child for signs of malaria, measles, meningitis and other causes of fever. The extended arm of the main box is connected to another box which describes how to assess the child for signs of measles complications if the child has measles now or within the last 3 months.
Ask about (or measure) fever in ALL sick children.
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