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Correspondence
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Volume 345:1132-1133 October 11, 2001 Number 15
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Respiratory Syncytial Virus

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To the Editor: In the review of respiratory syncytial virus (RSV) and parainfluenza virus by Hall (June 21 issue),1 there is a detailed discussion of non–respiratory tract complications, including otitis media and relapses in children with the nephrotic syndrome. However, there is no mention of encephalopathy associated with RSV infection.

We recently reported on a study involving 487 children with RSV bronchiolitis, in which the incidence of encephalopathy, manifested as seizures (not febrile convulsions), was 1.8 percent.2 This is likely to be an underestimate, because we have observed and treated a number of children with encephalopathy and RSV infection since . . . [Full Text of this Article]

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