Last reviewed: November 2017
Last updated: February  2017

Summary

Definition

History and exam

Key diagnostic factors

  • wheezing
  • shortness of breath
  • acute focal limb weakness

Other diagnostic factors

  • rhinorrhea
  • cough
  • sneezing
  • muscle aches
  • fever

Risk factors

  • <18 years of age
  • hx of asthma, wheezing
  • hx of chronic lung disease
  • late summer or fall

Diagnostic investigations

Investigations to consider

  • respiratory viral testing
  • pulse oximetry
  • MRI of the spine
  • lumbar puncture
  • electromyography
Full details

Emerging tests

  • real-time reverse transcription (rRT) PCR assay from nasopharyngeal swab
Full details

Treatment algorithm

Contributors

Authors VIEW ALL

Charles Foster

Staff Physician

Center for Pediatric Infectious Diseases

Pediatric Institute

Cleveland Clinic

Cleveland

OH

Disclosures

CF declares that he has no competing interests.

Giovanni Piedimonte

Professor & Chair

Pediatric Institute

Physician-in-Chief

Cleveland Clinic Children’s Hospital

Cleveland Clinic

Cleveland

OH

Disclosures

GP declares that he has no competing interests.

Neil R. Friedman

Director

Center for Pediatric Neurology

Neurological Institute

Cleveland Clinic

Cleveland

OH

Disclosures

NRF declares that he has no competing interests.

Peer reviewers VIEW ALL

Clinical Assistant Professor

Emergency Medicine Physician

Department of Emergency Medicine

University of Maryland School of Medicine

Baltimore

MD

Disclosures

FK declares that he has no competing interests.

Associate Professor

Pediatric Infectious Disease

Children’s Hospital Colorado and University of Colorado School of Medicine

Aurora

CO

Disclosures

SRD declares that he has no competing interests.

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