Adenovirus Infections

Crystal Nwagwu, MD and Fozia Akhtar Ali, MD Reviewed 06/2018
 


BASICS

DESCRIPTION

  • Acute, typically self-limited, febrile illnesses characterized by inflammation of mucous membranes including the conjunctivae, respiratory, and GI tracts

  • Adenovirus infections occur i...

DIAGNOSIS

HISTORY

Depends on type (see “Differential Diagnosis”); common symptoms with most respiratory forms 
  • Headache, malaise

  • Sore throat

  • Cough, coryza

  • Fever (moderate to high)

  • Vomiting, diarrhea, abdomi...

TREATMENT

GENERAL MEASURES

  • Treatment is supportive and symptomatic.

  • Infections are usually benign and short in duration.

MEDICATION

First Line

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Rest during febrile phases 

Patient Monitoring

For severe infantile pneumonia and conjunctivitis, daily physical exam until well 

DIET

No special diet 

PATIENT EDUCATION

REFERENCES

Wy Ip W, Qasim W. Management of adenovirus in children after allogeneic hematopoietic stem cell transplantation. Adv Hematol.  2013;2013:176418.  [View Abstract]
Lessler J, Reich NG, ...

ADDITIONAL READING

SEE ALSO

Conjunctivitis, Acute; Intussusception; Pneumonia, Viral 

CODES

ICD10

  • B34.0 Adenovirus infection, unspecified

  • B30.1 Conjunctivitis due to adenovirus

  • J12.0 Adenoviral pneumonia

  • A08.2 Adenoviral enteritis

  • B30.2 Viral pharyngoconjunctivitis

ICD9

  • 079.0 Adenovirus infec...

CLINICAL PEARLS

  • Adenovirus can mimic streptococcus pharyngitis with tonsillar exudates and cervical adenitis.

  • Adenovirus is the most common cause of strep-negative tonsillitis in young children.

  • Confirm...

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