{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,8]],"date-time":"2025-12-08T08:19:44Z","timestamp":1765181984182,"version":"3.46.0"},"reference-count":14,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2025,9,12]],"date-time":"2025-09-12T00:00:00Z","timestamp":1757635200000},"content-version":"vor","delay-in-days":11,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Pulmonology"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>We report a 1\u2010month\u2010old infant admitted with fever, dyspnea, and desaturation after an unmonitored pregnancy in a migrant family. The patient rapidly required mechanical ventilation. Laboratory parameters were markedly elevated, suggesting an infectious etiology.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The clinical course is described with emphasis on diagnostic challenges, including imaging, laboratory findings, and the stepwise process of differential diagnosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>After common etiologies were excluded, rarer causes were considered. The final diagnosis was established through integration of clinical assessment, radiological imaging, laboratory data, and microbiological testing.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In neonates with fever and respiratory distress, RSV bronchiolitis is usually the first consideration. If excluded, clinicians must remain alert to less frequent etiologies. This case underscores the importance of a broad differential diagnosis in infants with acute respiratory compromise.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ppul.71291","type":"journal-article","created":{"date-parts":[[2025,9,12]],"date-time":"2025-09-12T19:50:58Z","timestamp":1757706658000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Beyond the Usual Suspects: Neonatal Fever and Desaturation"],"prefix":"10.1002","volume":"60","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7786-8105","authenticated-orcid":false,"given":"Karol\u00edna","family":"Dole\u017ealov\u00e1","sequence":"first","affiliation":[{"name":"Clinic of Paediatrics of the First Faculty of Medicine, Thomayer University Hospital Charles University Prague Czech Republic"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jana","family":"Kodetov\u00e1","sequence":"additional","affiliation":[{"name":"Clinic of Paediatrics of the First Faculty of Medicine, Thomayer University Hospital Charles University Prague Czech Republic"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eva","family":"Klabusayov\u00e1","sequence":"additional","affiliation":[{"name":"Department of Paediatric Anaesthesiology and Intensive Care Medicine, University Hospital Brno and Faculty of medicine Masaryk University Brno Czech Republic"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jana","family":"Svobodov\u00e1","sequence":"additional","affiliation":[{"name":"Laboratory for Mycobacteria Ifcor\u2014Clinical Laboratories Ltd. Brno Czech Republic"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karel","family":"Karmaz\u00edn","sequence":"additional","affiliation":[{"name":"Department of Pediatric Intensive Care Thomayer University Hospital Prague Czech Republic"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pavel","family":"Tkadlec","sequence":"additional","affiliation":[{"name":"Department of Pulmology Hospital Uhersk\u00e9 Hradi\u0161t\u011b Uhersk\u00e9 Hradi\u0161t\u011b Czech Republic"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Em\u00edlia","family":"Kopeck\u00e1","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine, First Faculty of Medicine Charles University and Thomayer University Hospital Prague Czech Republic"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jan","family":"Hele\u0161ic","sequence":"additional","affiliation":[{"name":"Department of children's infectious diseases The University Hospital Brno Brno Czech Republic"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,9,12]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.3389\/FPUBH.2023.1239734"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.2165\/00148581-200507040-00002"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.3345\/KJP.2016.59.11.S64"},{"issue":"6","key":"e_1_2_9_5_1","first-page":"397","article-title":"Acute Miliary Tuberculosis in a Infant","volume":"10","author":"Dole\u017ealov\u00e1 K.","year":"2009","journal-title":"Pediatrics for Practise"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.21101\/CEJPH.A7499"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.12688\/f1000research.132068.1"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1994.03510330076038"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(06)68507-3"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.5588\/IJTLDOPEN.24.0062"},{"key":"e_1_2_9_11_1","unstructured":"\u201cWHO OPerational Handbook on Tuberculosis: Module 5: Management Of Tuberculosis in Children And Adolescents \u201d WHO accessed September 27 2023 https:\/\/www.who.int\/publications\/i\/item\/9789240046832."},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1136\/THX.2003.019224"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1136\/BCR-03-2012-6142"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jctube.2015.07.002"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0950268824000384"}],"container-title":["Pediatric Pulmonology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ppul.71291","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,8]],"date-time":"2025-12-08T08:15:08Z","timestamp":1765181708000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ppul.71291"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9]]},"references-count":14,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2025,9]]}},"alternative-id":["10.1002\/ppul.71291"],"URL":"https:\/\/doi.org\/10.1002\/ppul.71291","archive":["Portico"],"relation":{},"ISSN":["8755-6863","1099-0496"],"issn-type":[{"type":"print","value":"8755-6863"},{"type":"electronic","value":"1099-0496"}],"subject":[],"published":{"date-parts":[[2025,9]]},"assertion":[{"value":"2025-07-11","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-09-02","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-09-12","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e71291"}}