Adenovirus Infections

Crystal Amadi, MD and Fozia Akhtar Ali, MD Reviewed 06/2017
 


BASICS

DESCRIPTION

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

  • Adenovirus infections...

DIAGNOSIS

HISTORY

Depends on type (see “Differential Diagnosis”). Common symptoms with most respiratory forms (4,5
  • Headache, malaise

  • Sore throat

  • Cough, coryza

  • Fever (moderate to high)

  • Vomiting, diarrhea, ...

TREATMENT

GENERAL MEASURES

  • Treatment is supportive and symptomatic.

  • Infections are usually benign and of short duration.

MEDICATION

FIRST LINE

ONGOING CARE

FOLLOWUP RECOMMENDATIONS

Rest during febrile phases 

MONITORING

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

DIET

No special diet 

PATIENT TEACHING

  • Avoid a...

REFERENCES

Wy Ip W, Qasim W. Management of adenovirus in children after allogeneic hematopoietic stem cell transplantation. Adv Hematol.  2013;2013:176418. [View Abstract on OvidInsights]
Lessle...

ADDITIONAL READING

  • Houlihan C, Valappil M, Waugh S et al. Severe adenovirus infection: an under-recognized disease with limited treatment options. JICS.  2012;13(4), October.

  • Majeed A, Naeem Z, K...

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...

PEARLS

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

  • Most common cause of strep-negative tonsillitis in young children

  • Diagnosis only needs to be confirme...

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