Abstract

Presumed respiratory syncytial virus and severe acute respiratory syndrome coronavirus-2 co-infection in a critically ill infant: Diagnostic uncertainty and emergency management.

Highlights

  • On March 11, 2020, the World Health Organization declared the coronavirus disease 2019 (COVID-19) a global pandemic, with over 10,000,000 cases and 500,000 deaths worldwide by July

  • Nebulized hypertonic saline was avoided, and deep nasal suctioning was minimized. She was maintained on lowflow oxygen via nasal prongs for all transfers and placed only on non-invasive ventilation with continuous positive airway pressure (CPAP) through a full-face mask upon arrival in an intensive care airborne infection isolation room (AIIR)

  • The parents remained with their child, and caution was taken to restrict out-of-room time to a dedicated COVID-19 suspected/confirmed restroom wearing a face mask with strict hand hygiene

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Summary

CLINICAL CORRESPONDENCE

Presumed respiratory syncytial virus and severe acute respiratory syndrome coronavirus-2 co-infection in a critically ill infant: Diagnostic uncertainty and emergency management. Brett Burstein , MD CM, PhD, MPH*†; Marie-Astrid Lefebvre, MD, MSc‡; Farhan Bhanji, MD, MSc§

INTRODUCTION
CASE PRESENTATION
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Consent and reporting
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