What is the treatment for HMPV in children with pre-existing respiratory conditions?

Question

Hi doctor,

My four-year-old son recently developed a persistent cough, runny nose, and mild fever, which lasted for over a week. Initially, we thought it was a seasonal cold, but his symptoms worsened, leading to wheezing and noticeable difficulty breathing. A visit to the pediatrician revealed he tested positive for human metapneumovirus (HMPV). The doctor mentioned this virus is common in children but did not elaborate on its implications or treatment. We are particularly concerned because my son has a history of asthma, and I have read that underlying respiratory conditions can worsen HMPV infections. Additionally, he has been very fatigued, eating less than usual, and is still not completely recovering even after several days of prescribed treatment. What are the long-term risks associated with HMPV in children, particularly those with pre-existing respiratory conditions? How can we ensure his symptoms are properly managed, and are there any risks that would need immediate medical attention? Is it possible to prevent reinfections, and are there any vaccines or therapies for HMPV?

Please help me.

Thanks.

Answer 1

Hi,

Welcome to icliniq.com.

I can understand your concern.

Human metapneumovirus (HMPV) is a new viral infection discovered in China that usually causes symptoms similar to a cold. It has many similarities with COVID-19. The long-term effect is common in adults and not children. It can present as an asthma exacerbation and worsen it. There are presently no vaccines for it, and the current antiviral that has been advocated for is Ribavirin. I will advise supplements to boost the immune system. If he feels fatigued, I suggest he should be admitted to the hospital for proper monitoring.

Are you checking his oxygen saturation at home?
What medication is your son taking now?

Feel free to follow up with any further questions or concerns.

I hope this information helps you.

Thank you.