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Respiratory Syncytial Virus Pneumonia in Hospitalized Adults

Michael H. Zaroukian, MD, PhD; Isabel Leader
Arch Intern Med. 1991;151(12):2477-2484. doi:10.1001/archinte.1991.00400120109028.
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To the Editor. —  We took great interest in the article by Takimoto and colleagues1 entitled "Respiratory Syncytial Virus [RSV] Infections on an Adult Medical Ward" that appeared in the April issue of the ARCHIVES. We also previously reported an index case of life-threatening RSV pneumonia in the absence of other identifiable pathogens,2 along with six other cases identified by reviewing the serologic records of the Michigan Department of Public Health, Lansing. We followed this report with a prospective study showing RSV to be the etiologic agent in 3 of 55 (5.5%) consecutive patients admitted to the hospital with community-acquired Pneumonia.3A number of important points emerge in reviewing the findings of Takimoto and colleagues together with our results and those of other investigators.4-12 These data further reinforce the likelihood that RSV is an underrecognized lower respiratory pathogen capable of causing severe community-acquired or nosocomial pneumonia

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