Abstract
Children’s Mercy Hospital–Kansas City (CMH) sits on the border of 2 states and provides care to children from a 5-state region. On August 15, 2014, the CMH Division Director of Pediatric Infectious Diseases (ID) received an e-mail from a pediatric emergency department (ED) physician. This ED physician noted that in the previous 24 hours, she had seen 6 children who were disproportionately ill with respiratory distress; several of them required admission to the pediatric intensive care unit. The ED physician instinctively sensed that something was different about these children and asked her pediatric ID consultant for diagnostic assistance. Specifically, her e-mailed question to the consultant was, “Is there a ferocious lower respiratory virus in the community?”
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