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Measles encephalitis: A report of two cases with variable manifestations

Measles has always been considered as a disease associated with significant morbidity and mortality in children of the developing world. The high load of illness has been linked to infectious complications and malnutrition. The success of the immunization program has led to a decrease in the incidence of measles but of late, there have been reports of the program degrading, at least from some parts of the developing world.1 This is a concerning issue. Encephalomyelitis and encephalitis are two of the most devastating complications following measles. The latter is rarer than the first. Encephalitis usually occurs in children with measles modified by gamma globulin or occasionally in measles modified by live attenuated measles vaccine.2 Two cases of measles encephalitis are presented here that have occurred without modifying factors with unique atypical clinical and imaging manifestations, which have not been reported previously.