Q: A daycare classmate was hospitalized with RSV. Should my 19-month-old get tested even though his fever broke?

Medically reviewed by Sang Hyun Ahn, MD

Content edited by Myeongchan Kim, MD

This post is a dramatization of a question and answer session experienced by our actual medical reviewers. Please note that this content is for informational purposes only and does not constitute medical advice. Always consult with a qualified healthcare professional for any health concerns or before making any decisions related to your health or treatment.

Question:

My 19-month-old son had a fever from Friday to Sunday. After taking his prescribed cold medicine, his fever has thankfully resolved. However, I just found out today that a classmate at his daycare was hospitalized with Respiratory Syncytial Virus (RSV). They were at daycare together until Thursday. My son was diagnosed with a simple "fever cold" on Friday, but considering the direct exposure, should I take him to the hospital to get tested for RSV?

Answer:

It is completely understandable to be concerned after hearing about a confirmed RSV case at your child's daycare. Fortunately, your little one's fever has already subsided.

Current Assessment

Your 19-month-old had a fever starting Friday that has now resolved, but he was recently exposed to a classmate who is currently hospitalized with RSV.

What to Observe for RSV

Rather than rushing to get him tested immediately, you should carefully observe your child for the following symptoms:

• Wheezing or grunting sounds when breathing

• Nasal flaring or chest retractions (the skin pulling in between or under the ribs)

• A worsening cough or an increase in phlegm

• A returning fever or sudden lethargy

• A significant decrease in feeding, eating, or drinking

When to Visit the Hospital

• Go to the ER immediately if: Your child shows signs of severe breathing difficulty, cyanosis (a bluish tint to the skin or lips), or severe lethargy/unresponsiveness.

• See a doctor today if: You notice rapid breathing, continuous wheezing, or a complete refusal to drink fluids.

• Continue to observe if: Your child remains fever-free, eats well, and plays normally (as seems to be the case right now). You can safely monitor him at home for the next 2-3 days.

While RSV often passes just like a common cold, a 19-month-old still requires careful observation. Keep a close eye on his breathing and behavior, and if his symptoms change or worsen at any point, consult your pediatrician immediately for an in-person evaluation.

For extra peace of mind and clear guidance when tracking your child's symptoms, the FeverCoach app is always there to help.

fevercoach.us

Apple App Store

Google Play

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