2018, Number 2
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Rev Med Inst Mex Seguro Soc 2018; 56 (2)
Case report: Respiratory syncytial virus
Jiménez-Aguilar R, Rodriguez-Godoy ME, Jiménez-Juarez RN, Cano-Salas MC
Language: Spanish
References: 15
Page: 207-210
PDF size: 624.83 Kb.
ABSTRACT
Introduction: The Respiratory Syncytial Virus (RSV) is
the most important viral pathogen in children under 2
years of age, which warrants hospitalization for a low
respiratory infection. 0.5% of children under 5 with RSV
infection require hospitalization. The aim of this case is
to reaffirm the importance of this virus as a cause of
severe disease and to emphasize the importance of
adequate diagnosis and management to improve
prognosis.
Clinical case: Child of 1 year 3 months old, without risk
factors for severe infection by respiratory viruses. A 3-
day course of respiratory failure, requiring mechanical
ventilation with a pulmonary protection strategy due to
the development of intra-pulmonary ARDS, was
considered a mixed infection and received antibacterial
treatment. During his hospitalization, RSV infection was
documented. He was graduated without pulmonary
sequelae.
Conclusions: Respiratory syncytial virus is the
respiratory virus that causes a greater burden of
disease, even above influenza. Unfortunately for children
without risk factors for severe infection there are no
options for prevention or treatment, so in subjects with
severe disease the only option is the management of
support in specialized units and the timely detection of
bacterial overinfection. The development of a vaccine is
necessary.
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