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Complications
By Mayo Clinic staffComplications of respiratory syncytial virus include:
- Hospitalization. When respiratory syncytial virus infection causes severe illness, hospitalization may be required so that doctors can monitor and treat breathing problems and give intravenous (IV) fluids. Most at risk of hospitalization are babies younger than 6 months old, babies that are born prematurely, and babies with congenital heart or lung disease.
- Pneumonia or bronchiolitis. When the respiratory syncytial virus moves from your upper respiratory tract to your lower respiratory tract, inflammation of the lungs (pneumonia) or the lungs' airways (bronchiolitis) can result. This complication can be quite serious in infants, young children, immunocompromised individuals or people with chronic heart or lung disease.
- Middle ear infection. When microorganisms infiltrate the space behind the eardrum, a middle ear infection (otitis media) can result. This happens most frequently in infants and young children.
- Asthma. There may be a link between severe respiratory syncytial virus and the chance of developing asthma later in life.
- Recurring infections. Once you've been infected with the virus, it's common to occasionally experience a recurrence of RSV throughout life, usually in the form of a common cold. Although subsequent infections typically aren't as severe, they can be serious in older adults or people with chronic heart or lung disease.
References
- American Academy of Pediatrics. Respiratory syncytial virus. In: Pickering LK, et al. Red Book: 2006 Report of the Committee on Infectious Diseases. 27th ed. Elk Grove, Ill.: American Academy of Pediatrics; 2006. http://aapredbook.aappublications.org/cgi/content/full/2006/1/3.107. Accessed June 9, 2009.
- Barr FE, et al. Clinical features and diagnosis of respiratory syncytial virus infection. http://www.uptodate.com/home/index.html. Accessed May 15, 2009.
- Peters TR, et al. Respiratory syncytial virus. In: Long SS, et al. Principles and Practices of Pediatric Infectious Diseases. 3rd ed. Philadelphia, Pa.: Churchill Livingstone; 2008. http://www.mdconsult.com/das/book/body/143546809-2/0/1679/229.html?tocnode=55244158&fromURL=229.html#4-u1.0-B978-0-443-06687-0..50228-9_4167. Accessed June 10, 2009.
- Respiratory syncytial virus infection (RSV): Infection and incidence. Centers for Disease Control and Prevention. http://www.cdc.gov/rsv/about/infection.html. Accessed June 10, 2009.
- Busselen S. Respiratory syncytial virus (RSV). In: Ferri FF. Ferri's Clinical Advisor 2009. Philadelphia, Pa.: Mosby Elsevier; 2009. http://www.mdconsult.com/das/book/body/143685797-2/0/1701/508.html?tocnode=56571976&fromURL=508.html#4-u1.0-B978-0-323-04134-8..50021-5--subchapter11_10747. Accessed June 10, 2009.
- Respiratory syncytial virus infection (RSV): Transmission and prevention. Centers for Disease Control and Prevention. http://www.cdc.gov/rsv/about/transmission.html. Accessed June 10, 2009.
- Perez-Yarza EG, et al. The association between respiratory syncytial virus infection and the development of childhood asthma: A systematic review of the literature. The Pediatric Infectious Disease Journal. 2007;26:733.
- Barr FE, et al. Treatment and prevention of respiratory syncytial virus infection. http://www.uptodate.com/home/index.html. Accessed May 18, 2009.
- Ventre K, et al. Ribavirin for respiratory syncytial virus infection of the lower respiratory tract in infants and young children. Cochrane Database of Systematic Reviews. 2007:CD000181.
