Severe rhinovirus bronchiolitis in premature infant with bronchopulmonary dysplasia

Acute bronchiolitis is an inflammatory disease of the lower respiratory tract with a predominant lesion of small bronchi and bronchioles developing in children under 2 years of age. The main etiological factor of bronchiolitis is the respiratory syncytial virus (RSV), the second place in the etiologic structure belongs to rhinovirus, which causes bronchiolitis usually at 6 months age. Severe bronchiolitis is characterized by the need for auxiliary or artificial lung ventilation (ALV). The main risk groups for severe bronchiolitis include premature infants with or without bronchopulmonary dysplasia (BPD), children with hemodynamically significant congenital heart defects. The article presents a clinical observation of rhinovirus bronchiolitis severe course in a preterm infant aged 4,5 months (post-conceptual age-42 weeks) with severe BPD manifesting with an apnea episode followed by the development of severe respiratory failure requiring mechanical ventilation accompanied by sinus tachycardia. The study demonstrates the possibility of acute bronchiolitis severe course in a premature infant with BPD, not only because of RSV infection, but with rhinovirus infection in the first half of life, which should be considered during virus examination. © 2017, Pediatria Ltd. All rights reserved

Severe rhinovirus bronchiolitis in premature infant with bronchopulmonary dysplasia

Acute bronchiolitis is an inflammatory disease of the lower respiratory tract with a predominant lesion of small bronchi and bronchioles developing in children under 2 years of age. The main etiological factor of bronchiolitis is the respiratory syncytial virus (RSV), the second place in the etiologic structure belongs to rhinovirus, which causes bronchiolitis usually at 6 months age. Severe bronchiolitis is characterized by the need for auxiliary or artificial lung ventilation (ALV). The main risk groups for severe bronchiolitis include premature infants with or without bronchopulmonary dysplasia (BPD), children with hemodynamically significant congenital heart defects. The article presents a clinical observation of rhinovirus bronchiolitis severe course in a preterm infant aged 4,5 months (post-conceptual age-42 weeks) with severe BPD manifesting with an apnea episode followed by the development of severe respiratory failure requiring mechanical ventilation accompanied by sinus tachycardia. The study demonstrates the possibility of acute bronchiolitis severe course in a premature infant with BPD, not only because of RSV infection, but with rhinovirus infection in the first half of life, which should be considered during virus examination. © 2017, Pediatria Ltd. All rights reserved

Mukolipidosis type II as the cause of pulmonary hypertension in children

The article describes the development of multifactorial pulmonary hypertension (PH) associated with hypoxemia on the basis of a long-term clinical observation of the child with type II mucosolipidosis (ML). The literature data on the etiology, pathogenesis, clinical symptoms, diagnostic methods, modern ML treatment are presented. Results of patients' examination in dynamics, disease course, prescribed therapy and response to it are described. The study substantiates the connection of PH development with hypoxemia and pulmonary hypoplasia, progression of multiple dysostosis, incl. facial dysmorphism and thoracic dysplasia in patients with ML. The algorithm for examining patients with ML should include monitoring of oxygen saturation and pressure in the pulmonary artery in order to timely diagnose and treat hypoxemia and PH. © 2019, Pediatria Ltd.. All rights reserved