When 'ah-choo' turns to the flu

Young children contract and spread influenza more than any other age group

Casey, an eight-month-old girl, presents to ED with a five-day history of cough, fever, coryza, lethargy and decreased oral intake.

CT scan

Her work of breathing increased significantly during the 24 hours prior to presentation. 

On examination, Casey looks significantly unwell and lethargic with tachycardia, a fever of 39°C, SpO2 86% RA and significant respiratory distress.

There is decreased air entry to both lung bases.

Initial investigations reveal WCC 32.02x109/L (normal 6-18), platelets 149x109/L (normal 150-400). A