Overview
Bronchiolitis is an acute infection affecting the lower respiratory tract, primarily seen in very young children, most commonly those under 2 years of age. Respiratory syncytial virus (RSV) is the causative pathogen in approximately 75-80% of cases.
Features
Symptoms
i. Breathing Difficulties: Rapid or shallow breathing, chest retractions
ii. Cough: Persistent and often worsening cough
iii. Coryzal Symptoms: Including a mild fever, runny nose, and congestion.
iv. Decreased Feeding: Poor appetite or difficulty in feeding due to breathing issues.
v. Apneas: Short pauses in breathing, more commonly seen in very young infants
vi. Auditory Signs: Wheeze or fine inspiratory crackles upon auscultation
vii. Tachypnoea or Chest Recession: Rapid breathing or visible chest retractions
Management
1. Supportive Care: The mainstay of treatment is supportive care.
2. Humidified Oxygen: This helps in alleviating breathing difficulties.
Further Reading: Bronchiolitis