Bronchiolitis history and symptoms

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

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History and Symptoms

The incubation period of the virus is of 2-8 days, therefore symptoms begin within one week of contact with a symptomatic patient.[1]

Patients usually start with symptoms of a mild upper respiratory infection which includes fever, cough, nasal discharge.[1]

Symptoms of lower respiratory tract infection include:[2]

Fever is usually not high, in case of high fever other causes should rouled out, such as bacterial infections.

Apnea is a severe manifestation of RSV infection, more common in children under 3 months of age and premature infants.[1]

Lethargy is also common as vomit can be secondary to cough and poor feeding secondary to tachypnea may lead to dehydration.[3]

References

  1. 1.0 1.1 1.2 Wright M, Mullett CJ, Piedimonte G (2008). "Pharmacological management of acute bronchiolitis". Ther Clin Risk Manag. 4 (5): 895–903. PMC 2621418. PMID 19209271.
  2. Mandell, Gerald L.; Bennett, John E. (John Eugene); Dolin, Raphael. (2010). Mandell, Douglas, and Bennett's principles and practice of infectious disease. Philadelphia, PA: Churchill Livingstone/Elsevier.
  3. Mandell, Gerald L.; Bennett, John E. (John Eugene); Dolin, Raphael. (2010). Mandell, Douglas, and Bennett's principles and practice of infectious disease. Philadelphia, PA: Churchill Livingstone/Elsevier.


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