{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T11:37:22Z","timestamp":1783510642198,"version":"3.55.0"},"reference-count":15,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2016,5,18]],"date-time":"2016-05-18T00:00:00Z","timestamp":1463529600000},"content-version":"vor","delay-in-days":9026,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[1991,9]]},"abstract":"<jats:p>Between October 1989 and August 1990, Dallas County experienced an 11\u2010month epidemic of measles. Of 995 cases of pediatric measles diagnosed in the outpatient department of Children's Medical Center, 108 patients were admitted and 34 of these demonstrated significant upper airway obstruction at the time of admission. Airway problems ranged from mild inspiratory stridor with nasal flaring to frank obstruction and arrest in the emergency room, requiring intubation. Eight of the 34 airway patients were eventually diagnosed with bacterial tracheitis on the basis of endoscopic findings and culture results. The remaining patients had pictures more consistent with viral laryngotracheitis, but all patients were treated with broad\u2010spectrum antibiotics to prevent possible progression to bacterial tracheitis. A total of nine patients overall required intubation for airway obstruction and all were successfully extubated. Large outbreaks of measles are becoming common again in populations of urban poor\u2014largely unvaccinated children. The disease in these populations tends to occur at a younger age and may be more aggressive with more associated complications. Physicians must keep in mind the possibility of upper airway obstruction in a significant proportion of these patients. Early diagnosis on the basis of clinical signs and symptoms, endoscopy, and radiographs is the key to timely appropriate management.<\/jats:p>","DOI":"10.1177\/019459989110500311","type":"journal-article","created":{"date-parts":[[2017,1,26]],"date-time":"2017-01-26T23:42:56Z","timestamp":1485474176000},"page":"415-418","source":"Crossref","is-referenced-by-count":11,"title":["Measles: An Epidemic of Upper Airway Obstruction"],"prefix":"10.1002","volume":"105","author":[{"given":"Scott C.","family":"Manning","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology University of Texas Southwestern Medical Center at Dallas Dallas Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brock","family":"Ridenour","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology University of Texas Southwestern Medical Center at Dallas Dallas Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Orval E.","family":"Brown","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology University of Texas Southwestern Medical Center at Dallas Dallas Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janet","family":"Squires","sequence":"additional","affiliation":[{"name":"Department of Pediatrics University of Texas Southwestern Medical Center at Dallas Dallas Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[1991,9]]},"reference":[{"key":"e_1_2_1_2_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM198901123200202"},{"key":"e_1_2_1_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1989.03430090016005"},{"key":"e_1_2_1_4_1","first-page":"459","article-title":"Lead from the MMWR \u2014 Measles \u2014 United States, first 26 weeks, 1989","volume":"144","year":"1990","journal-title":"Am J Dis Child"},{"key":"e_1_2_1_5_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.83.3.369"},{"key":"e_1_2_1_6_1","first-page":"223","article-title":"1990 Measles epidemic\u2014Dallas morbidity report","author":"Haley CE","year":"1990","journal-title":"Dallas Med J"},{"key":"e_1_2_1_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF00273547"},{"key":"e_1_2_1_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-1-4613-0705-1_16"},{"key":"e_1_2_1_9_1","first-page":"857","volume-title":"Textbook of pediatrics","author":"Nelson WE","year":"1979"},{"key":"e_1_2_1_10_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.242.8.721"},{"key":"e_1_2_1_11_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1981.00790450037012"},{"key":"e_1_2_1_12_1","first-page":"46","article-title":"Bacterial tracheitis in children","volume":"140","author":"Kasian GF","year":"1989","journal-title":"Can Med Assoc J"},{"key":"e_1_2_1_13_1","doi-asserted-by":"publisher","DOI":"10.1136\/adc.58.3.180"},{"key":"e_1_2_1_14_1","first-page":"101","article-title":"Bacterial tracheitis in children","volume":"18","author":"Donaldson J","year":"1989","journal-title":"J Otolaryngol"},{"key":"e_1_2_1_15_1","first-page":"197","article-title":"Child mortality related to seroconversion or lack of seroconversion after measles vaccination","volume":"8","author":"Aaby P","year":"1989","journal-title":"Pediatr Infect Dis J"},{"key":"e_1_2_1_16_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.85.2.188"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/019459989110500311","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/019459989110500311","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T11:00:45Z","timestamp":1760958045000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1177\/019459989110500311"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1991,9]]},"references-count":15,"journal-issue":{"issue":"3","published-print":{"date-parts":[[1991,9]]}},"alternative-id":["10.1177\/019459989110500311"],"URL":"https:\/\/doi.org\/10.1177\/019459989110500311","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"value":"0194-5998","type":"print"},{"value":"1097-6817","type":"electronic"}],"subject":[],"published":{"date-parts":[[1991,9]]}}}