Bronchiolitis history and symptoms: Difference between revisions
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*Patients usually start with symptoms of a mild upper respiratory infection which includes [[fever]], [[cough]] and [[nasal discharge]].<ref name="pmid19209271">{{cite journal| author=Wright M, Mullett CJ, Piedimonte G| title=Pharmacological management of acute bronchiolitis. | journal=Ther Clin Risk Manag | year= 2008 | volume= 4 | issue= 5 | pages= 895-903 | pmid=19209271 | doi= | pmc=PMC2621418 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19209271 }} </ref> | *Patients usually start with symptoms of a mild upper respiratory infection which includes [[fever]], [[cough]] and [[nasal discharge]].<ref name="pmid19209271">{{cite journal| author=Wright M, Mullett CJ, Piedimonte G| title=Pharmacological management of acute bronchiolitis. | journal=Ther Clin Risk Manag | year= 2008 | volume= 4 | issue= 5 | pages= 895-903 | pmid=19209271 | doi= | pmc=PMC2621418 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19209271 }} </ref> | ||
*Symptoms of lower respiratory tract infection include:<ref name="Mandell">{{Cite book | last1 = Mandell | first1 = Gerald L. | last2 = Bennett | first2 = John E. (John Eugene) | last3 = Dolin | first3 = Raphael. | title = Mandell, Douglas, and Bennett's principles and practice of infectious disease | date = 2010 | publisher = Churchill Livingstone/Elsevier | location = Philadelphia, PA | isbn = | pages = }}</ref> | *Symptoms of lower respiratory tract infection include:<ref name="Mandell">{{Cite book | last1 = Mandell | first1 = Gerald L. | last2 = Bennett | first2 = John E. (John Eugene) | last3 = Dolin | first3 = Raphael. | title = Mandell, Douglas, and Bennett's principles and practice of infectious disease | date = 2010 | publisher = Churchill Livingstone/Elsevier | location = Philadelphia, PA | isbn = | pages = }}</ref> | ||
* | :*Dry [[Cough]] | ||
* | :*[[Wheezing]] | ||
* | :*[[Shortness of breath]] | ||
* | :*[[Fever]] | ||
* | :*[[Tachypnea]] | ||
*[[Fever]] is usually not high; in case of high [[fever]] other causes should ruled out, such as bacterial infections. | *[[Fever]] is usually not high; in case of high [[fever]] other causes should ruled out, such as bacterial infections. | ||
*[[Apnea]] is a severe manifestation of [[RSV]] infection, more common in children under 3 months of age and premature infants.<ref name="pmid19209271">{{cite journal| author=Wright M, Mullett CJ, Piedimonte G| title=Pharmacological management of acute bronchiolitis. | journal=Ther Clin Risk Manag | year= 2008 | volume= 4 | issue= 5 | pages= 895-903 | pmid=19209271 | doi= | pmc=PMC2621418 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19209271 }} </ref> | *[[Apnea]] is a severe manifestation of [[RSV]] infection, more common in children under 3 months of age and premature infants.<ref name="pmid19209271">{{cite journal| author=Wright M, Mullett CJ, Piedimonte G| title=Pharmacological management of acute bronchiolitis. | journal=Ther Clin Risk Manag | year= 2008 | volume= 4 | issue= 5 | pages= 895-903 | pmid=19209271 | doi= | pmc=PMC2621418 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19209271 }} </ref> | ||
Revision as of 16:24, 29 May 2014
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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History and Symptoms
- Bronchiolitis should be suspected when acute onset of upper respiratory tract infection appears, followed by lower respiratory tract infection symptoms (wheezing, cough and shortness of breath) in a child younger than 2 years.[1]
- The incubation period of the virus is of 2-8 days; therefore symptoms begin within one week of contact with a symptomatic patient.[2]
- Patients usually start with symptoms of a mild upper respiratory infection which includes fever, cough and nasal discharge.[2]
- Symptoms of lower respiratory tract infection include:[1]
- Fever is usually not high; in case of high fever other causes should ruled out, such as bacterial infections.
- Apnea is a severe manifestation of RSV infection, more common in children under 3 months of age and premature infants.[2]
- Lethargy is also common as vomit can be secondary to cough and poor feeding secondary to tachypnea may lead to dehydration.[1]
- History of cyanosis is related with severe disease.[3]
References
- ↑ 1.0 1.1 1.2 Mandell, Gerald L.; Bennett, John E. (John Eugene); Dolin, Raphael. (2010). Mandell, Douglas, and Bennett's principles and practice of infectious disease. Philadelphia, PA: Churchill Livingstone/Elsevier.
- ↑ 2.0 2.1 2.2 Wright M, Mullett CJ, Piedimonte G (2008). "Pharmacological management of acute bronchiolitis". Ther Clin Risk Manag. 4 (5): 895–903. PMC 2621418. PMID 19209271.
- ↑ Smyth RL, Openshaw PJ (2006). "Bronchiolitis". Lancet. 368 (9532): 312–22. doi:10.1016/S0140-6736(06)69077-6. PMID 16860701.