Serious RSV Infection in 3-Year-Old Child Requires Intubation: Pediatrician Raises Concerns

RSV Infection in 3-Year-Old Child Raises Concerns

Pediatrician Dr. Jiraruj Urges Vigilance as RSV Case Takes a Grave Turn

September 10, 2023 at 3:03 pm

In a recent alarming development, renowned pediatrician Dr. Jiraruj Chomchom has highlighted a distressing case of Respiratory Syncytial Virus (RSV) infection, a potentially dangerous condition affecting the lungs. The patient in question is a 3-year-old child who, despite having no pre-existing underlying health issues, is now facing the urgent need for intubation.

The genesis of this critical situation traces back to the child’s exposure to an infected individual at school. The initial contact led to a rapid spread of the infection, ultimately leading to a severe manifestation in the lungs. The severity of the case has left the medical team perplexed as it defies typical outcomes observed in children above the age of 3. Usually, RSV infections in this age group tend to exhibit milder symptoms.

Dr. Jiraruj, a distinguished specialist in pediatric respiratory diseases from Maharat Nakhon Ratchasima Hospital, has provided crucial information for identifying children at a higher risk of developing severe manifestations of RSV. If a child presents with the following symptoms, immediate medical attention is advised:

  1. Prolonged fever: A sustained fever above 38.5 degrees Celsius that persists for more than 2 days, with little response to fever-reducing medication.
  2. Rapid breathing: Notably accelerated breathing patterns seen from the onset of the fever.
  3. Recurrent coughing: A persistent cough, including during sleep, with the added presence of phlegm.
  4. Lethargy and decreased appetite: Fatigue, reduced food intake, and an overall weary appearance compared to the child’s usual behavior.

Dr. Jiraruj also emphasized that while RSV infections in older children, specifically those aged 3 to 4, without underlying health conditions generally have less severe symptoms, it is essential to remain vigilant and seek medical attention if symptoms worsen or persist.

Typically, the fever subsides within 72 hours, while the cough and phlegm may persist for approximately 7-10 days. It is worth noting that cases with severe symptoms, similar to the one at hand, were more common before the advent of the COVID-19 pandemic.

Dr. Jiraruj sheds light on the potential causes behind severe RSV symptoms, highlighting the role of repeated bacterial infections or concurrent viral exposures. Additionally, children who have recently overcome a respiratory infection within a span of two weeks have shown a higher susceptibility to severe outcomes. However, due to the lack of comprehensive data on such cases as COVID-19 takes precedence, the current extent of the outbreak remains unclear.

Amid this concerning situation, it is crucial to adhere to preventive measures such as consistent mask usage, regular handwashing, and maintaining a distance between sick individuals and younger siblings. Regrettably, no vaccine exists to combat RSV, making adherence to these protective measures all the more imperative.

As the medical community eagerly awaits a resolution to this distressing case, it is our fervent wish that this incident marks the end of the RSV season and that all individuals remain safe and in good health.

Dr Jiraruj raised the case of RSV The condition was serious. A 3-year-old child had the infection in his lungs and had to be intubated.

September 10, 2023 at 3:03 pm

Dr Jiraruj raised the RSV case as a serious condition and it may be the most serious case. A 3 year old child has no underlying disease. Touching sick people at school Later, the infection spread to the lungs and became serious. Must be intubated Recommend observing 4 symptoms that have a chance of serious cases of RSV today (10 September 2023) Dr. Jiraruj Chomchom, a pediatrician who specializes in diseases of the respiratory system. Maharat Nakhon Ratchasima Hospital Revealed through personal Facebook by citing the case of a young child infected with the RSV virus and stating that this case of RSV is probably the most serious. He was a patient during the last week, a 3-year-old child with no underlying disease. Had a history of contact with a patient with RSV at school RSV infection in the lungs was severe, ARDS level, requiring intubation. Still unable to catch other pathogens that cause it. As well as finding RSV by experience alone, It’s strange. Because for most children over the age of 3, if they are infected with rsv, the symptoms are usually not this severe. Dr. Jiruj also said “according to past experience When caring for patients and in collaboration with resident doctors in research The doctor has suggestions for observing certain characteristics that children infected with RSV are more likely to have severe symptoms. If you have these symptoms: 1. Fever above 38.5 degrees continuously for more than 2 days, not responding well to taking fever reducing medicine or drying yourself 2. Breathing fast from the first day. who started having a fever 3. he has a persistent cough Even when sleeping Still wakes up coughing And almost all of them have a cough with phlegm 4. lethargy, eat less, look very tired than before RSV in older children , for example over 3-4 years of age, who have no other underlying diseases. Most of the time, the symptoms are not severe. Fever usually goes away within 72 hours Cough and phlegm are common. It takes about 7-10 days to clear everything. But I have come across severe symptoms like this case, but at that time it was in the pre-Covid era. Dr Jirarut also said that the cause of severe symptoms usually comes from repeated bacterial infections or exposure to more than one virus at a time. or have recently recovered from a respiratory infection In a period of less than 2 weeks, because numbers are not kept for cases such as COVID. So we don’t know the current situation. Has the outbreak peaked yet? Wearing a mask, washing hands often, and separating sick elders from younger siblings is always a good method of protection. Because there is no vaccine for this disease. Pray this case will be the last. For this season And may everyone be safe and healthy.

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