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What you need to know about Enterovirus D68

Recently, there has been a lot of discussion in the media about a severe type of respiratory illness affecting many children, mainly in the Midwest.  The respiratory illness, caused by an infection with Enterovirus D68, is scary to parents, because it’s hard to differentiate whether their child is ill from this particular virus or just has one of the many other viruses that cause cold- and flu-like symptoms around this time of year.
 
Sometimes media reports leave families with more questions than answers, which is why Dr. Dianne Glover, one of Swedish’s pediatric infectious disease specialists, wanted to share this information with you:

  • Enterovirus D68 (EV-D68) is an unusual form of an otherwise common group of viruses referred to as Enteroviruses.  These are hardy viruses that usually spread by the respiratory route, but can also spread by fecal-oral route.  It is even possible to become infected by touching a surface contaminated with these viruses.

  • EV-D68 causes a respiratory illness which can quickly progress from a child behaving like they have a simple runny nose and mild cough to then having serious difficulty breathing.  Children ....

Wheezing in children

Wheezing is one of the most common symptoms in children and adults. Wheezing refers to the high pitched, "musical" sounds generated from the respiratory tract. It may originate in multiple areas, from the nose, to the throat, to the lungs. When physicians use the term "wheezing", they are usually indicating the sounds produced by tightness in the lower airways ("bronchial tubes").

Wheezing is especially important in pediatrics because children have frequent respiratory infections. These infections are generally caused by viral infections which cause much irritation in the airways. In addition, the airways of children are small and more "sensitive," predisposing them to wheezing. The location of the irritation may be in the upper or lower respiratory tract. This means that wheezing can occur with just a cold as well as bronchitis or pneumonia.

Wheezing in most children will respond to treatment with ...

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