tags:
- paeds/respi/extra
Respiratory Syncytial Virus
- single-stranded RNA virus
- Spread through:
- airborne droplets
- direct contact with respiratory secretions
- RSV replicates in the nasopharynx - causing coryzal symptoms
- LRTI can begins 2-3 days later, where the virus spreads to the bronchioles
The virus causes inflammatory response:
- immune cells infiltrate the bronchiolar epithelium which lined the small airways
- increased mucous production of goblet cells lead to edema → eventually necrosis → regeneration of epithelial cells
- this leads to small airway obstruction, air trapping, and increase airway resistance