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Abstract
Respiratory syncytial virus (RSV) typically causes lower respiratory tract infections in children, and most patients recover successfully. However, some infants and young children can have a severe course of disease with respiratory failure, and extrapulmonary manifestations can occur in severe RSV disease. We report one case of severe RSV bronchiolitis complicated with acute myocarditis, fulminant hepatic failure, and disseminated intravascular coagulation.
Figures and Tables
Figure 1
(A) Chest X-ray before admission shows the disparity of inspiration between left and right lungs. (B) Chest X-ray at admission day shows hyperinflation in both lungs and haziness in left lung.
Figure 2
(A) Cardiac enzymes including N-terminal pro-B-type natriuretic peptide (NT-proBNP) and troponin I rapidly decreased after intravenous immunoglobulin administration on admission day. (B) Liver enzymes including aspartate aminotransferase (AST), alanine aminotransferase (ALT), total bilirubin (t-Bil), and direct bilirubin (d-Bil) peaked at admission day 2 to 5 and then gradually decreased. Abbreviations: HD, hospital day; OPD, outpatient department.
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