Viral Pneumonia

Aka: Viral Pneumonia

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II. Causes

  1. See Pneumonia Causes

III. Signs: Factors that differentiate from Bacterial cause

  1. Non-productive cough
  2. Gradual Onset with prodrome (malaise and Headache)
  3. Chest XRay more impressive than exam
  4. Onset in fall or winter
  5. Wheezing more common in viral causes
  6. Low grade Temperature (<101.3 F)
  7. Conjunctivitis
    1. Adenovirus most commonly causes Conjunctivitis

IV. Labs

  1. Sputum Gram Stain
    1. Negative

V. Radiology: Chest XRay

  1. Air trapping
  2. Bilateral fine, fluffy infiltrates
  3. Atelectasis

VI. Management

  1. Influenza A
    1. Symmetrel
  2. Respiratory Syncytial Virus
    1. Manage comorbidity
    2. Ribavirin for infants with severe comorbidity
  3. Herpes Simplex Virus or Varicella Zoster Virus
    1. Acyclovir
  4. Cytomegalovirus
    1. Ganciclovir or Foscarnet

VII. Complications

  1. Risk of secondary infection

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