Respiratory syncytial virus as a cause of pulmonary hemorrhage in a low birth weight infant: strategies for protection and prevention: a case report.

Cases Journal
Shetal Shah, Martha Caprio

Abstract

Respiratory syncytial virus is a common neonatal pathogen. Here we present a case of a premature, low birth weight infant who contracted respiratory syncytial virus and developed a severe pulmonary hemorrhage. A 12-day-old Asian male, former 30 week premature infant with a birth weight of 1025 grams presented with nasal secretions, episodes of desaturations and increased work of breathing. The infant developed a pulmonary hemorrhage. Secretions during tracheal lavage were positive for respiratory syncytial virus on rapid fluorescence assay. After supportive care, the patient improved. Isolation, cohorting techniques and reinforcement of strict hand-washing guidelines prevented and outbreak to other infants. This original case report presents an uncommon presentation of respiratory syncytial virus infection, a common pediatric pathogen. Neonatologists should consider evaluating patients with pulmonary hemorrhage for respiratory syncytial virus if preceding symptoms are consistent with that infectious illness.

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Citations

Apr 1, 2011·Allergy & Rhinology·Omür AydinZeynep Misirligil

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