2023-05-22 05:42:00
Cai Wenxin reminds parents that if there are 3 warning signs, please go to the doctor immediately, including high fever, poor vitality; shortness of breath, wheezing, blood oxygen drop; convulsions, unconsciousness, etc. . (picture taken from freepik)
[Health Channel/Comprehensive Report]Recently, many children with persistent high fever and respiratory symptoms have appeared in pediatric outpatient and emergency departments. The doctor shared that within a week last week, three children who had several convulsions due to high fever were admitted to the ward, and one of them was a 3-year-old girl who had convulsions for several times. High fever for 7 days, chest X-ray showed pneumonia infiltration and was hospitalized. It was found that rhinovirus, parainfluenza virus, human interstitial pneumonia virus, and mycoplasma pneumonia infection were present on the body at the same time. After supportive treatment and anti-mycoplasma antibiotic treatment, he recovered Discharged from the hospital, remind children if they have high fever, poor vitality; shortness of breath, wheezing, blood oxygen drop; convulsions, unconsciousness 3 major warning signs, please seek medical attention immediately.
Cai Wenxin, attending physician of the Department of Pediatrics, Taipei Tzu Chi Hospital, posted on Facebook fan page “Serious and caring Dr. Cai Wenxin Taipei Tzu Chi new store Wenshan children early treatment for hyperactivity epilepsyThe article pointed out that at present, for children with respiratory tract infection and high fever, emergency screenings that can be done in emergency departments and outpatient clinics are influenza A+B virus, adenovirus, and new coronary pneumonia virus. There are signs of cooling down. In this wave of high fever epidemic, the results of rapid influenza screening of most patients were negative.
If it’s not flu or COVID-19, what kind of disease are these patients with persistent high fever, respiratory infection, and even fever convulsions? Cai Wenxin said that following hospitalization, the doctor will use multiple nucleic acid tests for respiratory pathogens. The detection method is real-time quantitative polymerase chain reaction (RT-PCR), and it is found that the pathogen of the recent pandemic is Human Metapneumovirus.
Cai Wenxin explained that human metapneumonia virus is an RNA virus, a new type of virus that infects human respiratory tract discovered by Dutch scholar van den Hoogen in 2001. The clinical manifestations are similar to respiratory fusion virus (RSV), which can cause infection of the upper and lower respiratory tract. In infants, premature infants, congenital heart disease, and immunocompromised patients, it can cause more serious infections, such as bronchiolitis, pneumonia, and respiratory failure.
Seek medical attention if wheezing, convulsions, or high fever persist
Cai Wenxin reminds parents that when a child has 3 warning signs, they must be sent to the doctor immediately, including high fever, poor vitality; shortness of breath, wheezing, blood oxygen drop; convulsions, unconsciousness, etc. Usually choose to wash your hands frequently and wear a mask to avoid the spread of other cold viruses.
Cai Wenxin reminded that only by washing hands frequently and wearing a mask can other cold viruses be prevented from spreading; the picture shows the situation. (picture taken from freepik)
5 things to know regarding human metapneumovirus
Cai Wenxin said that fever, cough and nasal congestion are the most common clinical symptoms. The age of first infection is mostly before the age of 5, but people of all ages can be re-infected. In addition, there are many types of viruses that can cause colds in children. Here are 5 things to know regarding human metapneumovirus:
1. Symptoms are similar to common cold:It cannot be distinguished by clinical symptoms. Symptoms include 90% cough, 70% nasal congestion, 50% flu-like symptoms (but not necessarily fever), and other symptoms include sore throat, muscle aches, nausea, diarrhea, etc.
2. Severe cases can lead to lower respiratory tract infection:About 35% of patients lead to pneumonia, 10% of bronchiolitis.
3. The number of days with fever varies:About 3-7 days on average.
4. People with allergies may induce asthma attacks.
5. People with heat cramps may induce several heat cramps:According to statistics, regarding 15% of young children have heat cramps.
Cai Wenxin said that many children in this wave had to be hospitalized because of bronchiolitis, pneumonia, or concurrent asthma, heat cramps, and severe symptoms, and even had to live in the intensive care unit for children. However, there is no specific treatment for human metapneumonia virus infection, and supportive therapy is the mainstay. Fortunately, following treatment, all the sick children recovered well and were discharged from the hospital.
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