Abstract
IntroductionRespiratory 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.Case presentationA 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.ConclusionThis 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.
Highlights
Respiratory Syncytial Virus is a common neonatal pathogen
We present a case of a premature, low birth weight infant who contracted respiratory syncytial virus and developed a severe pulmonary hemorrhage
Isolation, cohorting techniques and reinforcement of strict hand-washing guidelines prevented an outbreak to other infants. This original case report presents an uncommon presentation of respiratory syncytial virus infection, a common pediatric pathogen
Summary
Respiratory Syncytial Virus (RSV) is a potentially lethal pathogen in the pediatric population [1]. The pregnancy was complicated by hypertension requiring 10 days of hospitalization prior to delivery for administration of labetolol Her condition was associated with normal liver function tests and a platelet count of 150,000/ mcl. The patient weaned from conventional mechanical ventilation and was extubated to nasal continuous positive airway pressure of 5 cm H2O on the second day of life. He required only nasal cannula supplementation by his seventh day of life. Head ultrasonography on day of life 19 demonstrated increased echogenicity in the left periventricular white matter consistent with cerebral ischemia as compared to a normal initial study obtained at seven days of age.
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