A 4-year-old presents with a 2-day history of fever, conjunctivitis, hacking cough, and congestion. According to the mother, there is no “bark” and there is no “whoop” with his cough. Examination of his mouth is notable for pinpoint white dots on a red base. The patient moved 3 years ago from Australia at 1 year of age. His parents have refused immunizations.
Which vitamin supplement would you include in your treatment plan?
a. Vitamin D
b. Vitamin A
c. Vitamin E
d. Vitamin B12
Answer- b. Vitamin A
Vitamin A deficiency contributes to delayed recovery and to the high rate of post-measles complications. In addition, measles infection may precipitate acute vitamin A deficiency and xerophthalmia.
Administration of vitamin A to children with measles is associated with decreased morbidity and mortality