We read with interest the article by Kuppermann et al1 that provided the impetus for us to review the medical records of our patients with bronchiolitis and the frequency of co-existence of serious bacterial infections, namely, bacteremia, sepsis, or meningitis. We confirmed, as did the study of Antonow et al,2 that previously healthy, hospitalized infants with bronchiolitis are at low risk of coexisting serious bacterial infections. However, we urge the continued, careful assessment of each febrile infant with bronchiolitis, as this risk is not zero. We describe one infant recently hospitalized with respiratory syncytial virus bronchiolitis who on the intended day of discharge from the hospital developed sepsis and meningitis with Klebsiella pneumoniae.
St. Jacques DM, Barton LL, Rhee KH. Risk of Serious Bacterial Infections in Infants With Bronchiolitis. Arch Pediatr Adolesc Med. 1998;152(8):819-820. doi: