Non-Modifiable Factors Modifiable Factors: (Causative Agent: Respiratory Syncytia Virus)

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NON-MODIFIABLE FACTORS

• Age – may affect all ages but commonly


causes problems among infants (>12 MODIFIABLE FACTORS

months) • Close contact with people having

• Sex – Male/Female infected saliva or nasal secretions

• Underlying disease: congenital heart disease • Poor hand hygiene

RSV PNEUMONIA
(Causative agent: respiratory syncytia
DIRECT INDIRECT
virus)
• Direct contact (kissing) • Fomites

• Large droplets (cough/sneeze)


RSV enters nasal/ conjunctival mucosa and binds to
apical ciliated epithelial cells of nasopharynx

Release & invasion of RSV Uncoating of capsid, viral RSV-F protein fuses with
virions to neighboring cells replication, transcription, cell membrane of the host RSV-G protein
creating multinucleated translation, maturation, & and release its binds to host cell
syncytia assembly nucleocapsid to the surface
cytoplasm
Fever, cough, and
Cellular destruction of WBC infiltrates the site Mucus builds up in rhinitis (early
infected cells attracts releasing chemotoxic nasopharynx and symptoms show
nearby immune cells cytokines & histamine w/c inflammation of within 2-8 days)
(NK cells) activates inflammatory nasal tissue after exposure
response
RSV migrates of URT to lower respiratory tract (LRT) via intercellular
transmission through the lower airways (Piedimonte and Perez, 2014)

Virus propagates and enters respiratory


epithelium of LRT

Rhonchi,
Host inflammatory Activation of humoral & Inflammation & swelling due to Inspiratory and
response is triggered cytotoxic T-cell which fluid & mucus build up expiratory
attach to infection site narrowing the airway of wheezing
bronchi towards bronchioles

Formation of mucus plugs (fluid,


Air trapping in
dead cells) which fall to the alveoli Lung infiltrates →
alveoli
(air sacs) Hyperexpansion of
lungs

Decrease in CO2 buildup because of


concentration of oxygen mucus plugs in airways

Relative Respiratory
Hypoxemia Acidosis
z

Relative
Respiratory
Hypoxemia
Acidosis

Subcostal If not attended/ treated


Difficulty /Painful
Retraction, Nasal immediately, can lead to:
Breathing due to
Flaring
mucus plugs in
lungs Respiratory failure

Heart failure

Liver failure
Tachycardia Tachypnea
Irritable/ Easily
Long-term wheezing &
agitated
asthma (Bates, 2020)
requires energy
Re-infection with RSV
and secondary
infections
Lethargy

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