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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

1
Wy Ip W, Qasim W. Management of adenovirus in children after allogeneic hematopoietic stem cell transplantation. Adv Hematol.  2013;2013:176418.  [View Abstract]
2
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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