Respiratory syncytial virus (RSV) pneumonia

Case contributed by Dr Yair Glick

Presentation

Cough and fever.

Patient Data

Age: 40 days
Gender: Male

Right upper lobe (RUL) consolidation with air bronchogram. Horizontal fissure concave towards RUL as sign of partial RUL atelectasis, most probably due to occluded bronchus.
Alveolar/interstitial-alveolar infiltrates with air bronchograms throughout left lung, more pronounced in the upper zone.

Case Discussion

Normal pregnancy and birth. Born at 42 weeks, birth weight 3800 g.
Ventricular septal defect (VSD) diagnosed postnatally.
Normal development, fully vaccinated.
Cough starting on the day before admission, fever starting on the day of admission.

Nasal swab positive for respiratory syncytial virus (RSV).

Viral lung infections commonly manifest as peribronchial cuffing and interstitial infiltrates. In this case, however, RSV pneumonia has a predominantly alveolar pattern. The LUL atelectasis was reported to the treating paediatrician, which prompted treatment with respiratory physical therapy.

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Case information

rID: 53655
Case created: 29th May 2017
Last edited: 30th May 2017
Systems: Chest, Paediatrics
Inclusion in quiz mode: Included

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