Severe acute respiratory syndrome: Difference between revisions
(SARS) |
No edit summary |
||
| Line 2: | Line 2: | ||
*SARS = Severe Acute Respiratory Syndrome | *SARS = Severe Acute Respiratory Syndrome | ||
*Mainly Asia | *Mainly Asia | ||
**Commonly isolated from civet cat | |||
*Coronavirus spread by respiratory droplet transmission | *Coronavirus spread by respiratory droplet transmission | ||
Revision as of 01:54, 4 June 2016
Background
- SARS = Severe Acute Respiratory Syndrome
- Mainly Asia
- Commonly isolated from civet cat
- Coronavirus spread by respiratory droplet transmission
Clinical Features
- Fever, Chills
- Myalgias
- Headache
- Non-productive Cough
Differential Diagnosis
Influenza-Like Illness
- Influenza
- Parainfluenza
- URI
- Pneumonia
- Sinusitis
- Toxic exposure
- Pyelonephritis
- Bronchitis
- Coronavirus
Cough
Acute (< 3 wks)
- URI (rhinitis, sinusitis, pertussis)
- LRI (bronchitis, pneumonia)
- Influenza
- Allergy
- Asthma
- Environmental irritants
- Transient airway hyperresponsiveness
- Foreign body
- SARS
Chronic (> 8 wks)
- Postinfectious; pertussis
- Smoking and/or chronic bronchitis
- Postnasal discharge
- Asthma
- GERD
- ACEI/ARB
- CHF
- Lung cancer or intrathoracic mass
- Emphysema
- Interstitial lung disease
- Psychiatric
Diagnosis
- CXR (abnormal in 75% of cases at presentation)
- Patchy consolidation in peripheral lung fields
Management
- Empiric treatment for Bacterial Pneumonia
- Ribavirin
- Methylprednisolone