Measles in Pediatric Oncology
English version of a poster presented in French.
Fatima Ezzahrae Kouzi1✉, K. Elmkaddem1, S. Bouramdane1, S. Benmiloud1
- 1 Service d’Hémato-oncologie pédiatrique, CHU Hassan II Fès
Received 15 October 2026 · Accepted 15 October 2026 · Published 15 October 2026
Article PDF · Original poster (PDF)
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Abstract
Introduction
Measles is a highly contagious viral infection transmitted via airborne route, which can be particularly severe in immunocompromised children, especially those treated for cancer, with increased risk of systemic complications.
Materials and methods
This is a retrospective descriptive study of four patients with acute lymphoblastic leukemia followed in pediatric hemato-oncology who developed measles during treatment. Clinical, biological, and evolutionary data were extracted from medical records.
Results
All four patients had leukopenia and severe neutropenia. Three had favorable outcomes with rapid rash resolution and progressive chemotherapy resumption. One patient developed severe post-measles pneumonia requiring intensive care and died. Management included isolation, vitamin A, hydration, antipyretics, ENT and skin care, and temporary chemotherapy interruption.
Conclusion
Measles in children with cancer remains a high-risk infection. Early diagnosis and adapted management allow favorable outcomes. Gradual chemotherapy resumption is possible after recovery. Prevention through post-exposure prophylaxis and hygiene measures is essential in pediatric oncology.
Original poster
References
- Moss WJ. Measles. Lancet. 2017 Jan;390(10111):2490–2502.
- Rosen JB et al. Measles transmission in immunocompromised children.
- Clin Infect Dis. 2019;68(5):850–857.
- Bellini W et al. Centers for Disease Control and Prevention.
- Epidemiology of measles in the immunocompromised. MMWR. 2015.
- WHO. Measles Fact Sheet. World Health Organization, 2019 & 2021 updates.
- Pui CH, Yang JJ, Hunger SP et al. Childhood acute lymphoblastic leukemia: progress through collaboration. J Clin Oncol. 2021;39(19):2189–2203.
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