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Using the Virtual Pediatric Systems data registry, patients under 2 years admitted to the pediatric intensive care unit (PICU) were screened. Patients with documented RSV infection and NEC, intestinal perforation, noninfectious gastroenteritis\/colitis, or pneumatosis intestinalis occurring around the timing of RSV bronchiolitis diagnosis were included. Out of the screened patients, 41 were analyzed. Most patients (93%) were aged 30 days to 2 years, one-third had baseline anatomical cardiac defects, and 20% history of prematurity. Median PICU length of stay was 11.7 days. Seven patients died before hospital discharge. While not statistically significant, nonsurvivors tended to exhibit higher PRISM-3 scores, more acidemia, and lower systolic blood pressure. These findings emphasize the need for cautious assessment of gastrointestinal symptoms in critically ill patients with RSV infection.<\/jats:p>","DOI":"10.1177\/00099228241227763","type":"journal-article","created":{"date-parts":[[2024,2,2]],"date-time":"2024-02-02T03:45:11Z","timestamp":1706845511000},"page":"1544-1550","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Necrotizing Enterocolitis Complicating Severe RSV Bronchiolitis in PICU Settings"],"prefix":"10.1177","volume":"63","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3528-6040","authenticated-orcid":false,"given":"Mohammad","family":"Sallam","sequence":"first","affiliation":[{"name":"University at Buffalo, Buffalo, NY, USA"},{"name":"Department of Pediatrics, Boston Children\u2019s Hospital, Boston, MA, 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