What symptom would NOT typically be seen in a case of acute bronchiolitis?

In cases of acute bronchiolitis, which primarily affects infants and young children, symptoms typically include wheezing, fever, and cough. Acute bronchiolitis is characterized by inflammation of the small airways (bronchioles) often due to viral infections, particularly respiratory syncytial virus (RSV).

Wheezing occurs because the inflamed airways become narrowed, leading to difficulty in expelling air and creating the characteristic high-pitched sound during expiration. Fever is a common accompanying symptom due to the viral infection causing the body's immune response. Cough is also frequently observed as a protective reflex to clear mucus from the airways, which can be excessively produced during the infection.

Joint pain, however, is not a typical symptom associated with acute bronchiolitis. Joint pain is more indicative of systemic issues or infections that affect the joints, such as viral arthritis or other inflammatory conditions, rather than a respiratory illness like bronchiolitis. Thus, the presence of joint pain would be inconsistent with the symptom profile of acute bronchiolitis and provides a clear distinction from the other symptoms listed.