Asymptomatic Bradycardia in a Neonate: A Rare Manifestation of Respiratory Syncytial Virus Infection with Literature Review.

IF 0.7 Q3 MEDICINE, GENERAL & INTERNAL
International Medical Case Reports Journal Pub Date : 2025-06-14 eCollection Date: 2025-01-01 DOI:10.2147/IMCRJ.S524907
Dina W Abdulghani, Dina Tariq Alafandi
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引用次数: 0

Abstract

Respiratory syncytial virus (RSV) is a leading cause of pulmonary infections and is associated with significant morbidity and mortality in infants and children under the age of 2 years. Although RSV infection most commonly affects the respiratory system, it has increasingly been linked to cardiovascular manifestations such as conduction abnormalities. Such complications are exceedingly rare in neonates, especially in the absence of clinical signs of infection. Herein, we present the case of a 3-day-old full-term neonate who presented to the emergency department owing to maternal concern of yellowish discoloration of the skin. During assessment, he exhibited multiple episodes of isolated bradycardia necessitating admission to the intensive care unit for further investigation and monitoring. After an extensive work up for bradycardia, he was found to be RSV positive via nasopharyngeal polymerase chain reaction (PCR). He remained hemodynamically stable with resolution of bradycardia episodes after 4 days. This case highlights the importance of recognizing RSV as a potential cause of arrhythmia in newborns, even in the absence of respiratory symptoms and underscores the need for further studies on the cardiovascular effects of RSV.

新生儿无症状心动过缓:呼吸道合胞病毒感染的一种罕见表现并文献复习。
呼吸道合胞病毒(RSV)是肺部感染的主要原因,与婴儿和2岁以下儿童的显著发病率和死亡率相关。虽然呼吸道合胞病毒感染最常影响呼吸系统,但它越来越多地与传导异常等心血管症状联系在一起。这种并发症在新生儿中极为罕见,特别是在没有感染临床症状的情况下。在此,我们提出的情况下,一个3天大的足月新生儿谁提出了急诊科,由于母亲担心皮肤的黄色变色。在评估期间,他表现出多次孤立性心动过缓,需要进入重症监护病房进行进一步调查和监测。经过对心动过缓的广泛检查,经鼻咽聚合酶链反应(PCR)发现他为RSV阳性。患者血流动力学稳定,4天后心动过缓消退。该病例强调了认识RSV是新生儿心律失常的潜在原因的重要性,即使在没有呼吸道症状的情况下也是如此,并强调需要进一步研究RSV对心血管的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
International Medical Case Reports Journal
International Medical Case Reports Journal MEDICINE, GENERAL & INTERNAL-
CiteScore
1.40
自引率
0.00%
发文量
135
审稿时长
16 weeks
期刊介绍: International Medical Case Reports Journal is an international, peer-reviewed, open access, online journal publishing original case reports from all medical specialties. Submissions should not normally exceed 3,000 words or 4 published pages including figures, diagrams and references. As of 1st April 2019, the International Medical Case Reports Journal will no longer consider meta-analyses for publication.
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