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>>>>Dear Netters,
>>>>I would like discuss a clinical course of  bronchiolitis or RSV
pneumonia
>>>>that we sometime see, I guess  the so-called "sepsis-like" or
>>"shock-like".
>>>>We have infants with mild symptoms of respiratory distress, good
>>appearance
>>>>, normal blood gases or , in worst cases, mild hypoxemia and hypocarbia.
>>>>They suddenly become cianotic, hypotonic, hyporesponsive and need strong
>>>>reanimatory efforts.
>>>>Some of them eventually die. About you, what is the pathophysiological
>>>>mechanism? It doesn't like to follow the classical course of respiratory
>>>>failure, but has a shock like picture. Actually, they need ventilator
and
>>>>pharmacological circulatory support.
>>>>This gloomy occurrence is always in mind during "RSV season", for its
>>>>unforeseenability.
>>>>
>>>>                                        Regards,
>>>>Mauro Budetta MD
>>>>Emergency Pediatrician
>>>>Salerno (Italy)
>>>>
>>>>
>>>
>>>
>>
>
>
 
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