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Arch Pediatr Adolesc Med. 2002;156:1055.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

We read with interest the recent article on concurrent serious bacterial infection (SBI) in children hospitalized with respiratory syncytial virus (RSV) infection.¹ The authors raised concerns about the frequency of SBI, especially in young infants with proven RSV. While the authors acknowledged the retrospective limitations of their study, one of our concerns was the exclusion of sepsis/meningitis workups performed after hospital day 1. At the time this article was published, we discharged a patient with rapid antigen–positive RSV who would have been excluded from this study, yet had a grave concurrent infection.

A 4-week-old infant (twin B, born at 35 weeks' gestation) was electively admitted 24 hours after her twin brother, who had upper respiratory tract infection symptoms and a fever, developed apnea and was found to have rapid antigen–positive RSV. She was admitted afebrile with minimal rhinorrhea so that she could be monitored and begin early treatment with ribavirin. . . . [Full Text of this Article]

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