[Thirty seven cases of respiratory syncytial virus infection hospitalised and 7 severe cases with apneic attacks].
We studied 37 cases of respiratory syncytial virus infection hospitalized during the period January 1, 1989 and March 31, 1993. 37 patients were 0-4 years old on admission. Fever, positive CRP and elevation of BSG were frequent in patients aged 8 months-4 years old. Patient more than 8 months of age didn't need supplementation of oxygen. Of the 37 patients, we had one case who had hyponatremia and six cases who were admitted with severe apneic attacks required incubation. Of the six cases, one patient had delayed neurological deterioration after anoxia due to apneic attacks. He, followed up for 4 years, have serious residual deficits including spastic quadriplegia, delayed development and epilepsy. Variety of factors, including premature birth, young postnatal age and milk feeding appeared to be significant risk factors for sever infections of RSV. In RSV infection, apneic attacks can cause near-miss SIDS. So, we stress the importance of careful and rapid diagnosis for all infants less than 8 months of age.
Seto
M
M
Department of Pediatrics, Momoyama Memorial Hospital.
Shiomi
M
M
Togawa
M
M
Lee
S S
SS
Yabiku
M
M
Sugita
T
T
D001049:Apnea / Q000209:etiology*; D002675:Child, Preschool; D005260:Female; D006760:Hospitalization; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D018357:Respiratory Syncytial Virus Infections / Q000150:complications*; D018113:Respiratory Syncytial Virus, Human; D013398:Sudden Infant Death / Q000209:etiology