pediatrics
Respiratory Syncytial Virus (RSV) and Human Metapneumovirus Infections
Symptoms and Signs of RSV and hMPV
RSV and hMPV illnesses manifest similarly. The most recognizable clinical syndromes are Bronchiolitis and These illnesses typically begin with upper respiratory symptoms and fever, then progress over several days to dyspnea, cough, wheezing, and/or crackles on chest auscultation. Apnea may be the initial symptom of RSV in infants<6 months. In healthy adults and older children, illness is usually mild and may be inapparent or manifested only as an afebrile common cold. However, severe disease may develop in the following: Patients who are < 6 months old, older adults, or patients who are immunocompromised Patients who have underlying cardiopulmonary or neuromuscular disorders 