Viral syndrome: Difference between revisions
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*Among the most common illnesses encountered in ED | *Among the most common illnesses encountered in ED | ||
*Majority trivial, some may be life-threatening | *Majority trivial, some may be life-threatening | ||
*Depending on the type of virus: may be transmitted via direct contact, droplet, fecal-oral, saliva, sexual contact, venereal, or vertical transmission. | |||
==Clinical Features== | ==Clinical Features== | ||
Revision as of 22:21, 25 January 2016
Background
- Among the most common illnesses encountered in ED
- Majority trivial, some may be life-threatening
- Depending on the type of virus: may be transmitted via direct contact, droplet, fecal-oral, saliva, sexual contact, venereal, or vertical transmission.
Clinical Features
Differential Diagnosis
Viral infections
- Adenovirus
- Acute Bronchitis
- Arbovirus
- CMV
- Coronavirus
- Coxsackievirus
- Herpesvirus
- HIV (Acute Retroviral Syndrome)
- Infectious mononucleosis (EBV)
- Influenza virus
- Laryngitis
- Rhinovirus
- Varicella
Diagnosis
- Clinical diagnosis
- Serology testing may be indicated to diagnose or rule-out life-threatening causes
Management
- Symptomatic management
- Exclude other causes if serious presentation
- Consider empiric acyclovir and antibiotics until HSV and bacterial causes ruled out.
Disposition
See Also
External Links
References
- Takhar SS, Moran GJ. Disseminated Viral Infections. In: Tintinalli JE, Stapczynski J, Ma O, Cline DM, Cydulka RK, Meckler GD, T. eds. Tintinalli's Emergency Medicine: A Comprehensive Study Guide. New York, NY: McGraw-Hill; 2011.