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Bronquiolitis - Symptom

Síntomas:

Algunos niños pueden tener pocos síntomas o síntomas menores.

La bronquiolitis comienza como una infección leve de las vías respiratorias altas. Durante un período de dos o tres días, el niño desarrolla más problemas respiratorios, como sibilancias y una tos sibilante y "forzada".

Los síntomas abarcan:

  • Piel azulada debido a la falta de oxígeno (cianosis): se necesita tratamiento urgente
  • Dificultad respiratoria, que incluye sibilancias y falta de aliento
  • Tos
  • Fatiga
  • Fiebre
  • Los músculos alrededor de las costillas se hunden a medida que el niño trata de inhalar (tiraje)
  • Aleteo nasal en bebés
  • Respiración rápida (taquipnea)

Pruebas y exámenes:

El médico llevará a cabo un examen físico y auscultará los pulmones. Esto puede revelar:

  • Sibilancias y sonidos crepitantes que se oyen a través de un examen del tórax con estetoscopio.

Los exámenes que se pueden hacer abarcan:

  • Gasometría arterial
  • Radiografía de tórax
  • Cultivo de una muestra del flujo nasal para determinar el virus causante de la enfermedad
  • Reviewed last on: 8/2/2011
  • Neil K. Kaneshiro, MD, MHA, Clinical Assistant Professor of Pediatrics, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

Watts KD, Goodman DM. Wheezing, bronchiolitis, and bronchitis. In: Kliegman RM, Behrman RE, Jenson HB, Stanton BF, eds. Nelson Textbook of Pediatrics. 19th ed. Philadelphia, Pa: Saunders Elsevier; 2011:chap 383.

American Academy of Pediatrics Subcommittee on the Diagnosis and Management of Bronchiolitis. Diagnosis and management of bronchiolitis. Pediatrics. 2006;118:1774-1793.

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