How to manage HMPV infection in kids?

Question

Hello doctor,

My 5-year-old son has had HMPV (human metapneumovirus) for a week, and he is just not getting better. His fever comes back every evening, and his cough is so rough that it sounds like a barking seal. The doctor prescribed Azithromycin, but he is still so weak and keeps holding his chest like it hurts. Could this be turning into something more serious? Should we get a chest X-ray?

Please help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concern.

Symptoms of HMPV:

Symptoms typically appear three to six days after exposure and may include:

Nasal congestion.
Runny nose.
Sore throat.
Headache.
Coughing.

In severe cases, HMPV can lead to:

Difficulty breathing.
Wheezing.
Fever.
Bronchiolitis.
Bronchitis or pneumonia.

How does hMPV spread?

The virus spreads through:

Close contact with infected individuals.
Touching contaminated surfaces.

Treatment for HMPV infections:

Most cases resolve within two to five days without specific treatment.

Management includes:

Rest.

Drinking plenty of fluids.

Acetaminophen or Ibuprofen for fever, and pair supplemental oxygen and fluids in severe cases.

Nasal decongestants and saline sprays: Use these to relieve congestion and improve breathing.
Humidifiers: Use a clean humidifier to add moisture to the air and soothe irritated airways.
Oxygen therapy: In severe cases, supplemental oxygen or mechanical ventilation may be required.
Bronchodilators: These medications can open up airways in patients with wheezing or shortness of breath.

Preventing the spread of HMPV- To protect yourself and others:

Wash your hands frequently.
Wear face masks in crowded areas.
Avoid close contact with infected individuals.
Clean and disinfect contaminated surfaces.

If any of the above-mentioned complications are seen, kindly take your kid to the pediatrician and get a chest X-ray done.

I hope this helps.

Kindly follow up if you have more concerns.

Thank you.