Wheezing and Shortness of Breath After Viral Pharyngitis

  • Juan J. L. Sienra-Monge
  • Elsy M. Navarrete-Rodríguez
  • Jaime M. Del-Rio-Chivardi

Practical Points

  • Short-acting beta-2 agonists administered up to 4–10 puffs every 20 min for the first hour, is the most effective way to break an asthma attack

  • Over-use of beta-2 agonists and solo use of beta-2 agonists, history of hospitalization or emergency care visit for asthma, or intensive care unit admissions due to asthma in the past year, and poor adherence to medications, predict mortality in asthma


Short-acting beta 2 agonist Metered dose inhaler Inhaled corticosteroids Oral corticosteroids 


  1. 1.
    Tebo AE, Jaskowski T, Davis KW, Whiting A, Clifford B, Zeft A, McNally B, Hill HR, Bohnsack J, Prahalad S. Profiling anti-cyclic citrullinated peptide antibodies in patients with juvenile idiopathic arthritis. Pediatr Rheumatol Online J. 2012;10:29.CrossRefGoogle Scholar
  2. 2.
    Abramson MJ, Puy RM, Weiner JM. Injection allergen immunotherapy for asthma. Cochrane Database Syst Rev. 2010;8:CD001186.Google Scholar
  3. 3.
    Suissa S, Blais L, Ernst P. Patterns of increasing beta-agonist use and the risk of fatal or near-fatal asthma. Eur Respir J. 1994;7(9):1602–9.CrossRefGoogle Scholar
  4. 4.
    Ernst P, Spitzer WO, Suissa S, Cockcroft D, Habbick B, Horwitz RI, Boivin JF, McNutt M, Buist AS. Risk of fatal and near-fatal asthma in relation to inhaled corticosteroid use. JAMA. 1992;268(24):3462–4.CrossRefGoogle Scholar
  5. 5.
    Sturdy PM, Victor CR, Anderson HR, Bland JM, Butland BK, Harrison BD, Peckitt C, Taylor JC, Mortality, Severe Morbidity Working Group of the National Asthma Task F. Psychological, social and health behaviour risk factors for deaths certified as asthma: a national case-control study. Thorax. 2002;57(12):1034–9.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Juan J. L. Sienra-Monge
    • 1
  • Elsy M. Navarrete-Rodríguez
    • 1
  • Jaime M. Del-Rio-Chivardi
    • 1
  1. 1.Hospital Infantil de México Federico GómezCiudad de MéxicoMexico

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