Viral syndrome
(Redirected from Nonspecific viral infection)
Background
- 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.
Clinical Features
- Generalized viral features
- Specific viral syndromes
Differential Diagnosis
Viral infections
- Adenovirus
- Acute Bronchitis
- Arbovirus
- CMV
- Coronavirus
- Coxsackie virus
- Herpesvirus
- HIV (Acute Retroviral Syndrome)
- Infectious mononucleosis (EBV)
- Influenza virus
- Laryngitis
- Rhinovirus
- Varicella
Fever
Infectious
- Critical
- Sepsis
- PNA with respiratory failure
- Peritonitis
- Meningitis
- Cavernous Sinus Thrombosis
- Necrotizing Fasciitis
- Emergent
- PNA
- Peritonsillar Abscess
- Retropharyngeal Abscess
- Epiglottitis
- Endocarditis
- Pericarditis
- Appendicitis
- Cholecystitis
- Diverticulitis
- Intra-abdominal abscess
- Pyelonephritis
- Tubo-ovarian abscess
- Encephalitis
- Brain abscess
- Cellulitis
- Abscess
- Malaria
- Non-emergent
Non-infectious
- Critical
- Emergent
- CHF
- Dehydration
- Recent Seizure
- Sickle Cell Dz
- Transplant rejection
- Pancreatitis
- DVT
- Serotonin Syndrome
- Non-emergent
- Drug fever (except as in NMS and Serotonin Syndrome)
- Malignancy
- Gout
- Sarcoidosis
- Crohn's Disease
- Postmyocardiotomy syndrome
- Sweet's syndrome
Evaluation
- Clinical diagnosis
- Serology testing may be indicated to diagnose or rule-out life-threatening causes
Management
- Symptomatic management
- Exclude other causes if serious presentation
- Consider empiric acyclovir and antibiotics until HSV and bacterial causes ruled out.
Disposition
- Outpatient treatment
See Also
External Links
References
- 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.