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The Pediatric Forum |

Respiratory Syncytial Virus Infection and the Risk of Serious Bacterial Infections

Kevin Purcell, MD, PharmD, RPh; Jaime Fergie, MD
Arch Pediatr Adolesc Med. 2002;156(10):1056-1057. doi:.
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We thank Drs McGregor and Tung as well as Dr Kuppermann for their interest and comments on our recently published article.1 At the center of the controversy is the first sentence of our concluding statement:

Drs McGregor and Tung express concern because of their case report. Although they imply that the infant had S pneumoniae meningitis from the time of admission, we cannot be completely sure that the infant did not get infected shortly after admission. We also caution against their implication that not diagnosing meningitis on day 1 of symptoms is associated with a bad outcome, or that the outcome is going to be worse than if meningitis is diagnosed at once and antibiotic therapy is initiated earlier. Although these concepts may seem intuitive, they are not correct.2,3 Additionally, their patient had only minimal rhinorrhea and no reported wheezing and shortness of breath, a state that is not typical of RSV bronchiolitis.

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