SESSION TITLE: Fellow Case Report Poster - Chest Infections I
SESSION TYPE: Affiliate Case Report Poster
PRESENTED ON: Tuesday, October 25, 2016 at 01:30 PM - 02:30 PM
INTRODUCTION: Respiratory syncytial virus (RSV) infection is a well-documented cause of bronchiolitis in children but also plays a significant role in adult respiratory infections.
CASE PRESENTATION: An 89 year-old woman with a history of asthma and second-hand smoke exposure, diabetes, hypertension, hypothyroidism, and stroke presented with altered mental status, rhinorrhea, shortness of breath, productive cough, and fevers up to 100.4°F for two days. Patient denied sick contacts. She was admitted to the ICU and given bronchodilators, steroids, antibiotics, and oseltamivir. Exam was notable for increased work of breathing and diffuse end-expiratory wheezes. There was a mild leukocytosis of 10.2 with 75% neutrophils. Chest X-ray was clear. The following day, she was electively intubated for worsening hypercapneic, hypoxic respiratory failure and somnolence. She was extubated two days later but required non-invasive positive pressure ventilation support afterwards for two days. All cultures were negative except the viral respiratory panel, which was positive for respiratory syncytial virus.