- 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.
- Generalized viral features
- Specific viral syndromes
- Acute Bronchitis
- Coxsackie virus
- HIV (Acute Retroviral Syndrome)
- Infectious mononucleosis (EBV)
- Influenza virus
- Clinical diagnosis
- Serology testing may be indicated to diagnose or rule-out life-threatening causes
- Symptomatic management
- Exclude other causes if serious presentation
- Consider empiric acyclovir and antibiotics until HSV and bacterial causes ruled out.
- Outpatient treatment
- 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.