Fatal respiratory syncytial virus infection in immunocompetent adult: a case report

A previously-healthy 42-year-old man, a military worker, was admitted to the Emergency Department for was admitted to the Emergency Department with cough, dyspnea and fever. The patient has never been a smoker, was never followed for a medical condition. The initial assessment revealed the presence of respiratory rales in both lung fields without abnormal sign on heart auscultation. Patient had severe hypoxemia (SaO2 86%). His body temperature was 39.0°C. A chest X-ray revealed diffuse haziness dominant in his right lung field. Chest computed tomography revealed ground glass opacity. Lab examination revealed elevated white blood cell (WBC) count (20 320/ mm3) with 97% neutrophils, and high C-reactive protein (CRP) rate (45mg/l).