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Detection of respiratory syncytial virus (RSV) at birth in a newborn with respiratory distress
Authors:Sara Manti MD  Caterina Cuppari MD  Angela Lanzafame MD  Carmelo Salpietro MD  Pasqua Betta MD  Salvatore Leonardi MD  Miriam K. Perez MD  Giovanni Piedimonte MD
Affiliation:1. Department of Pediatrics, Unit of Pediatric Genetics and Immunology, University of Messina, Messina, Italy;2. Department of Clinical and Experimental Medicine, University of Catania, Catania, Italy;3. Center for Pediatric Research, Pediatric Institute and Children's Hospital, Cleveland Clinic Foundation, Cleveland, Ohio
Abstract:
Respiratory syncytial virus (RSV) is the most common respiratory pathogen in infants and young children. From the nasopharyngeal or conjunctival mucosa of infected individuals, RSV spreads to the lower respiratory tract causing acute bronchiolitis and pneumonia after an incubation period of 4‐6 days. In addition to its well‐documented tropism for the airway epithelium, it has been shown previously that RSV can also spread hematogenously and efficiently infect extrapulmonary tissues of human hosts. Furthermore, it has been shown in animal models that RSV can spread transplacentally from the respiratory tract of a pregnant mother to the lungs of the fetus. This report describes a documented case of neonatal RSV infection strongly suggestive of prenatal transmission of this infection in humans from an infected mother to her offspring.
Keywords:asthma & early wheeze  critical care  developmental biology  infections: pneumonia, TB, viral  neonatal pulmonary medicine
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