Abstract
The patient was a 10–month-old Caucasian male who was brought to the clinic by his mother. She reported that for the past five days her son had a fever of 103°F, difficulty breathing, and cough. She treated the fever with ibuprofen and acetaminophen and the patient improved, but worsened again after three days. The mother took her son to a local physician who prescribed albuterol nebulizer for home usage, but this did not improve his symptoms. The day prior to the current presentation the patient had decreased activity, increased “lethargy”, decreased appetite, difficulty nursing, laborious breathing, and decreased urine output. He also vomited and had two loose stools. At this point the mother decided to bring her son to the clinic for further care. While in clinic, his temperature was recorded at 38.6°C and oxygen saturation was 91%. His five-year-old sister was reported to have had similar symptoms, but not as severe. The patient’s past medical history included no prior hospitalizations, and no asthma or albuterol use. His immunizations were up to date, including recent receiving of the novel H1N1 influenza A vaccination.
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Arbefeville, S.S., Bossler, A.D. (2011). Human Metapneumovirus. In: Schrijver, I. (eds) Diagnostic Molecular Pathology in Practice. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-19677-5_38
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