Pediatric Radiology

, Volume 2, Issue 3, pp 155–159 | Cite as

The radiological findings in respiratory syncytial virus infection in children

Part II the correlation of radiological categories with clinical and virological findings
  • W. Simpson
  • P. M. Hacking
  • S. D. M. Court
  • P. S. Gardner


In 352 children with acute lower respiratory infections, R. S. virus was present in 126, 94 (75%) under six months of age. Consolidation was found in approximately 25% of children with R. S. virus infection and in 70% of those with an initial clinical diagnosis of pneumonia, but if it was the only abnormality or if the shadow was larger than subsegmental there was a significant negative correlation with R. S. virus isolation. Collapse was uncommon and unrelated to R. S. virus. Peribronchial thickening was found in 39% of the children, more often in bronchiolitis or bronchitis than in pneumonia, and was unrelated to R. S. virus isolation or to age. — Air trapping, particularly as the sole abnormality showed a significant association with R. S. virus. It was found more frequently in children with bronchiolitis than in the other clinical categories, and in children under six months old.

Key Words

R. S. virus chest radiograph collapse/consolidation air trapping bronchiolitis 


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Chanock, R. M., Kim, H. W., Vargosko, A. J., Deleva, A., Johnson, K. M., Cumming, C., Parrott, R. H.: Respiratory syncytial virus. I. Virus recovery and other observations during 1960 outbreak of bronchiolitis, pneumonia and minor respiratory diseases in children. J. Amer. med. Ass.176, 647 (1961)Google Scholar
  2. 2.
    Conte, P., Heitzman, E. R., Markarian, B.: Viral pneumonia, roentgen pathological correlations. Radiology95, 267 (1970)Google Scholar
  3. 3.
    Elderkin, F. M., Gardner, P. S., Turk, D. C., White, A. C.: Aetiology and management of bronchiolitis and pneumonia in childhood. Brit. med. J.1965II, 722Google Scholar
  4. 4.
    Gardner, P. S., Stanfield, J. P., Wright, A. E., Court, S. D. M., Green, C. A.: Viruses, bacteria and respiratory disease in children. Brit. med. J.1960 I, 1077Google Scholar
  5. 5.
    Hilleman, M. R., Hamparian, V. V., Ketler, A., Reilly, C. M., McClelland, L., Cornfeld, D., Stokes, J. Jr.: Acute respiratory illness among children and adults. J. Amer. med. Ass.,180, 445 (1962)Google Scholar
  6. 6.
    Holzel, A., Parker, L., Patterson, W. H., White, L. L. R., Thompson, K. M., Tobin, J. O'H.: The isolation of respiratory syncytial virus from children with acute respiratory disease. Lancet1963 I, 295Google Scholar
  7. 7.
    Loda, F. A., Clyde, W. A., Glezen, W. P.: Studies on the role of viruses, bacteria and M. pneumoniae as causes of lower respiratory tract infections in children. J. Pediat.72, 161 (1968)Google Scholar
  8. 8.
    McClelland, L., Hilleman, M. R., Hamparian, V. V., Ketler, A., Reilly, C. M., Cornfield, D., Stokes, J. Jr.: Studies of acute respiratory illnesses caused by respiratory syncytial virus. II. Epidemiology and assessment of importance. New Engl. J. Med.264, 1169 (1961)Google Scholar
  9. 9.
    Rice, R. P., Loda, F.: A roentgenographic analysis of respiratory syncytial virus pneumonia in infants. Radiology87, 1021 (1966)Google Scholar
  10. 10.
    Simon, G.: Principles of chest X-ray diagnosis. 3rd ed. London: Butterworth and Co. 1971Google Scholar
  11. 11.
    Stott, E. J., Bell, E. J., Eadie, M. B., Ross, C. A. C., Grist, N. R.: A comparative virological study of children in hospital with respiratory and diarrhoeal illnesses. J. Hyg. (Camb.),65, 9 (1967)Google Scholar
  12. 12.
    Sturdy, P. M., McQuillin, J., Gardner, P. S.: A comparative study of methods for the diagnosis of respiratory virus infections in childhood. J. Hyg. (Camb.)67, 659, (1969)Google Scholar

Copyright information

© Springer-Verlag 1974

Authors and Affiliations

  • W. Simpson
    • 1
  • P. M. Hacking
    • 1
  • S. D. M. Court
    • 1
  • P. S. Gardner
    • 1
  1. 1.Departments of Child Health, Radiology and VirologyNewcastle University Hospitals, Royal Victoria InfirmaryNewcastle upon TypeUK

Personalised recommendations