Xiao Rong, a 1 and a half year old girl, recently had a high fever accompanied by severe nasal congestion. She even often coughed and vomited. The vomit also contained mucus that looked like phlegm. After four days of continuous fever, her family found that Xiao Rong’s appetite and activity decreased significantly, and her breathing was obvious. It was laborious and too fast, so I sought medical attention urgently. The pediatrician’s examination found that there was phlegm and wheezing in both lungs. The chest X-ray also showed inflammation of the lower lungs on both sides. The blood test reported that the inflammatory index and the number of white blood cells had increased. It was determined that he was suffering from the recently popular “respiratory fusion virus” ”.
The doctor then arranged a rapid antigen screening for Xiao Rong, and it was confirmed that the reaction was positive. The final diagnosis was “respiratory fusion virus infection combined with secondary bacterial pneumonia.” Xiao Rong was admitted to the hospital and made to sleep in an oxygen tent and treated with antibiotics. After several days of treatment, Xiaorong’s fever finally subsided and she was discharged from the hospital with medicine.
As autumn and winter enter, many respiratory viruses are beginning to spread. Yan Peiru, an attending pediatrician at the Yangming Campus of Beijing United Medical College, said that according to statistics from the Department of Disease Control and Prevention, this year“Respiratory Syncytical Virus” (RSV)The isolation positivity rate has been catching up since September and is currently second only to influenza virus.
Excessive phlegm is a symptom of respiratory tract fusion virus
Yan Peiru pointed out that infants and young children under 5 years old are a high-risk group for infection with respiratory fusion virus, which can cause bronchiolitis, croup and pneumonia. After being infected with respiratory fusion virus, the virus will destroy the epithelial cells of the small bronchial tubes and produce a large amount of necrosis. cells and secretions, so clinically observedSick children have a lot of sputum. When the sputum blocks the small trachea of the child, it will cause the sick child to cough violently, cough to vomit, and even have shortness of breath. During auscultation, a whistling sound from the trachea will also be heard.
She explained that the course of respiratory tract fusion virus is often longer than that of a common cold.Fever usually lasts for 3 to 5 days, and it takes an average of nearly 2 weeks for overall respiratory symptoms to significantly improve.In addition, children with asthmatic constitutions are also prone to acute asthma attacks after being infected with the virus.
Yan Peiru explained that the current treatment method for respiratory fusion virus is mainly symptom treatment, and more fluids are needed. Drugs can only help relieve symptoms.For infants and young children who lack the ability to cough up phlegm, parents can expel the phlegm before feeding or use a home sprayer to dissolve phlegm. A nasal aspirator can also assist in sucking out mucus to help children improve their discomfort.
However, it should be noted that if you find that a sick child has reduced activity, loss of appetite, shortness of breath, or obvious wheezing, please seek medical attention for evaluation. If the fever persists, or if the fever recurs after a few days, be careful to see if it is complicated by otitis media, sinusitis or bacterial pneumonia. If this is the case, antibiotic treatment will be required.
Respiratory fusion virus high-risk groups
Yan Peiru listed the “six high-risk groups” for respiratory tract virus, including:
She reminded that currently health insurance covers some sick children for vaccinations.Monoclonal antibody (Palivizumab)to prevent serious infections, including:
Children under 1 year old with congenital heart disease with significant hemodynamic abnormalities
The gestational age at birth was less than 33 weeks
Premature infants less than 35 weeks old and with chronic lung disease
Adults can also be infected with Category 2 severe cases of civil protection
Yan Peiru also warned,Since the body cannot develop effective lifelong immunity after being infected with respiratory fusion virus, it is possible to be infected again.Even adults can be infected with RSV. Although most cases are mild, the elderly and patients with low immunity may still cause severe pneumonia and complications. Therefore, RSV is not a disease exclusive to young children. .
In fact, the two respiratory fusion virus vaccines approved for the first time by the U.S. Food and Drug Administration (FDA) this year will now be administered first to adults over 60 years old, and one of them can also be used in women aged 32 to 36 weeks of pregnancy. Pregnant women will be vaccinated during the virus epidemic period, which can protect the unborn baby until the age of 6 months and improve the immunity of the pregnant woman.
Yan Peiru appealed that Taiwan has not yet introduced a respiratory fusion virus vaccine, so it is still necessary to prevent infection by avoiding droplet and contact transmission. You can do the following: wash your hands frequently, wear a mask, and avoid going in and out of crowded places during the epidemic period. After returning home, you should change your clothes before coming into contact with young children and the elderly. The epidemic period of respiratory viruses is approaching. Only by having correct concepts can you protect the health of yourself and your family.
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This article is reproduced with permission from “Youhuo Health Network”, the original text isThe positivity rate is second only to influenza!Excessive phlegm and persistent high fever… A 1-year-old girl contracted “this disease” and had a high fever for 4 days, coughing and vomiting
2023-11-06 04:04:33
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