Author: Al-Maskari, Nawal; Mohsin, Jalila; Al-Maani, Amal; Al-Macki, Nabil; Al-Ismaili, Suad
                    Title: Atypical Presentations of Respiratory Syncytial Virus Infection: Case Series.  Cord-id: cvpi2req  Document date: 2016_1_1
                    ID: cvpi2req
                    
                    Snippet: The respiratory syncytial virus (RSV) usually causes a lower respiratory tract infection in affected patients. RSV has also been infrequently linked to extrapulmonary diseases in children. We report four children who had unusually severe clinical manifestations of RSV infections requiring critical care admission. These patients presented to the Royal Hospital, Muscat, Oman, in December 2013 with acute necrotising encephalopathy (ANE), acute fulminant hepatic failure with encephalopathy, pneumato
                    
                    
                    
                     
                    
                    
                    
                    
                        
                            
                                Document: The respiratory syncytial virus (RSV) usually causes a lower respiratory tract infection in affected patients. RSV has also been infrequently linked to extrapulmonary diseases in children. We report four children who had unusually severe clinical manifestations of RSV infections requiring critical care admission. These patients presented to the Royal Hospital, Muscat, Oman, in December 2013 with acute necrotising encephalopathy (ANE), acute fulminant hepatic failure with encephalopathy, pneumatoceles and croup. A unique presentation of ANE has not previously been reported in association with an RSV infection. All patients had a positive outcome and recovered fully with supportive management.
 
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