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Viral Pneumonia

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Viral Pneumonia

  • See Also
  1. Influenza
  2. Bacterial Pneumonia
  3. Respiratory Syncytial Virus (or Acute Bonchiolitis)
  4. Acute Bronchitis
  5. Upper Respiratory Infection
  • Causes
  1. See Pneumonia Causes
  • 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
  • Labs
  1. Sputum Gram Stain
    1. Negative
  1. Air trapping
  2. Bilateral fine, fluffy infiltrates
  3. Atelectasis
  • 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
  • Complications
  1. Risk of secondary infection