Wheezing after respiratory tract infection in athletes

Wheezing is a commonly encountered complaint by patients seen in sports medicine practice. Wheezes are a continuous musical sound heard best on expiration and can originate from one or more of several defined anatomical locations in the human airway. While common causes of wheezing include exercise-...

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Bibliographic Details
Published in:Current sports medicine reports 2012-03, Vol.11 (2), p.85-89
Main Authors: Fields, Karl B, Thekkekandam, Thomas J, Neal, Sara
Format: Article
Language:English
Subjects:
Asthma - diagnosis
Asthma - microbiology
Athletes
Female
Humans
Male
Recovery of Function
Respiratory Sounds - diagnosis
Respiratory Sounds - etiology
Respiratory Tract Infections - complications
Respiratory Tract Infections - diagnosis
Respiratory Tract Infections - microbiology
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Summary:Wheezing is a commonly encountered complaint by patients seen in sports medicine practice. Wheezes are a continuous musical sound heard best on expiration and can originate from one or more of several defined anatomical locations in the human airway. While common causes of wheezing include exercise-induced bronchoconstriction, postnasal drip, and asthma, wheezing also follows specific respiratory infections and can persist for months after the onset of symptoms. Abnormal lung physiology following pneumonia can persist for decades. These postinfectious pulmonary changes affect the ability of athletes to return to sports. In addition to history and physical examination, diagnosis may require pulmonary function testing and exercise challenge testing. The cornerstone to management is an accurate diagnosis and using lifestyle and pharmacologic intervention. Return to play should be gradual and allowed only after individuals demonstrate adequate pulmonary capacity to meet the demands of their sport. Providers also should be aware of governing body regulations regarding treatments and required therapeutic use exemptions.
ISSN:1537-890X
1537-8918
DOI:10.1249/JSR.0b013e31824a78fc