Viral syndrome

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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

Differential Diagnosis

Viral infections

Fever

Infectious

Non-infectious

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.