11 March, 2009

RS virus infection( 1-year & 7-month-old)


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RS virus infection in infant
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||||||||||||||| ☞ Case presentation:
|||||||||||||||| ------- 1 year 7 month-old boy (acute wheezing bronchitis).
||||||||||||| January 19th. started high fever & cough.
|||||||||||||||||||||||||||| 20th. severe cough with wheezing at night.
||||||||||||||||||||||||||||||||||||||| Rapid diagnostic test for RS virus(+).
|||||||||||||||| 25th. no fever. cough & wheezing continued.
|||||||||||||||| February 2th. still coughing.

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Respiratory Syncytial(=RS) virus: RNA virus
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------------ Linda Stannard, Department of Medical Microbiology, University of Cape Town.

2) Age: 6 month old ~ toddlers
3) Season: winter~ early spring.
4) Incubation period: 2~8 days
5) Transmission route: close contact with infected infants.
|||||||||||||||||||||||||||||||||||||||||||||droplets, aerosol inhalation.

6) Site of infections: kindergarten, child care centers
7) Type of diseases:
||||||||||||||| i) upper respiratory infection: frequent
|||||||||||||| ii) wheezing bronchitis: infants
||||||||||||| iii) Acute bronchiolitis: apnea(holding respiration)
||||||||||||| iv) pneumonia:
8) Prevention: monoclonal antibody to RS virus(Trade name SYNAGIS)
------------------ , its high costs, is administered in one shot/month during winter
-------------------- for high risk baby  ☞ low-birth-weight infant, premature baby 
==============================or infant with congenital heart diseases.




Any questions: write to Keiji Hagiwara MD. keijihagiwara@gmail.com