Viral Bronchiolitis Quiz
Reviewed By:
Unnati Patel, MD, MSc (Family Medicine)
Dr.Patel serves as Center Medical Director and a Primary Care Physician at Oak Street Health in Arizona. She graduated from the Zhejiang University School of Medicine prior to working in clinical research focused on preventive medicine at the University of Illinois and the University of Nevada. Dr. Patel earned her MSc in Global Health from Georgetown University, during which she worked with the WHO in Sierra Leone and Save the Children in Washington, D.C. She went on to complete her Family Medicine residency in Chicago at Norwegian American Hospital before completing a fellowship in Leadership in Value-based Care in conjunction with the Northwestern University Kellogg School of Management, where she earned her MBA. Dr. Patel’s interests include health tech and teaching medical students and she currently serves as Clinical Associate Professor at the University of Arizona School of Medicine.
Eisaku Kamakura, MD (Pulmonology)
Dr. Kamakura graduated from the Tokyo Medical and Dental University, School of Dentistry, and the Niigata University School of Medicine. He trained at Yokosuka Kyosai Hospital and held positions in the Respiratory Medicine departments at Yokosuka Kyosai Hospital, Tokyo Medical and Dental University, Ome City General Hospital, and Musashino Red Cross Hospital. In 2021, he became the specially appointed assistant professor at the Department of General Medicine, Niigata University School of Medicine.
Content updated on Jan 19, 2024
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Whistling when I breathe
Respiratory wheeze
Loud breathing
Fever then no fever then fever again
Stridor
Child stops breathing and turns pale or blue after crying
Periodic fever (>100.4°F / 38°C)
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What is Viral Bronchiolitis?
It causes swelling and a buildup of mucus in the small airways of the lung called bronchioles. Bronchiolitis is almost always caused by a virus. It starts out with symptoms like a common cold but then it gets worse, causing coughing and a high-pitched whistling sound when breathing out called wheezing. Sometimes children have trouble breathing. Symptoms of bronchiolitis can last for 1 to 2 weeks but occasionally can last longer. It usually occurs in children less than 2 years and most common in babies less than 3 months. Most children get better with care at home. A small number of children need a stay in the hospital.
Typical Symptoms of Viral Bronchiolitis
Noisy breathing; e.g. wheezing, rattling
Fever
Hands and feet turned pale and blue
Feeling breathless
clubbed finger
Cough
Recent contact with sick people with similar symptoms
First symptom is runny nose
Doctor's Diagnostic Questionson Viral Bronchiolitis
Your doctor may ask these questions to check for this disease:
Is your breathing noisy, like wheezing or rattling?
Do you have a fever?
Is your skin colored either purple or blue?
Are you having difficulty breathing?
Do you have a cough?
Treatmentof Viral Bronchiolitis
Supportive care and careful monitoring for breathlessness is important. Infants and severe cases may need to be hospitalized for oxygen support or for fluids to be given through a needle in the vein.
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View the symptoms of Viral Bronchiolitis
Diseases related to Viral Bronchiolitis
References
Florin TA, Plint AC, Zorc JJ. Viral bronchiolitis. Lancet. 2017 Jan 14;389(10065):211-224. doi: 10.1016/S0140-6736(16)30951-5. Epub 2016 Aug 20. PMID: 27549684; PMCID: PMC6765220.
https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(16)30951-5/fulltext
Caballero MT, Polack FP, Stein RT. Viral bronchiolitis in young infants: new perspectives for management and treatment. J Pediatr (Rio J). 2017 Nov-Dec;93 Suppl 1:75-83. doi: 10.1016/j.jped.2017.07.003. Epub 2017 Aug 30. PMID: 28859915.
https://www.sciencedirect.com/science/article/pii/S0021755717306587?via%3Dihub
Meissner HC. Viral Bronchiolitis in Children. N Engl J Med. 2016 Jan 7;374(1):62-72. doi: 10.1056/NEJMra1413456. PMID: 26735994.
https://www.nejm.org/doi/10.1056/NEJMra1413456
Fretzayas A, Moustaki M. Etiology and clinical features of viral bronchiolitis in infancy. World J Pediatr. 2017 Aug;13(4):293-299. doi: 10.1007/s12519-017-0031-8. Epub 2017 May 4. PMID: 28470580; PMCID: PMC7090852.
https://link.springer.com/article/10.1007/s12519-017-0031-8
Bronchiolitis - Mayo Clinic
https://www.mayoclinic.org/diseases-conditions/bronchiolitis/symptoms-causes/syc-20351565
User Testimonials
Reviewed By:
Unnati Patel, MD, MSc (Family Medicine)
Dr.Patel serves as Center Medical Director and a Primary Care Physician at Oak Street Health in Arizona. She graduated from the Zhejiang University School of Medicine prior to working in clinical research focused on preventive medicine at the University of Illinois and the University of Nevada. Dr. Patel earned her MSc in Global Health from Georgetown University, during which she worked with the WHO in Sierra Leone and Save the Children in Washington, D.C. She went on to complete her Family Medicine residency in Chicago at Norwegian American Hospital before completing a fellowship in Leadership in Value-based Care in conjunction with the Northwestern University Kellogg School of Management, where she earned her MBA. Dr. Patel’s interests include health tech and teaching medical students and she currently serves as Clinical Associate Professor at the University of Arizona School of Medicine.
Eisaku Kamakura, MD (Pulmonology)
Dr. Kamakura graduated from the Tokyo Medical and Dental University, School of Dentistry, and the Niigata University School of Medicine. He trained at Yokosuka Kyosai Hospital and held positions in the Respiratory Medicine departments at Yokosuka Kyosai Hospital, Tokyo Medical and Dental University, Ome City General Hospital, and Musashino Red Cross Hospital. In 2021, he became the specially appointed assistant professor at the Department of General Medicine, Niigata University School of Medicine.
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