Viral Pneumonia in Older Adults
Identifieur interne : 000940 ( Pmc/Curation ); précédent : 000939; suivant : 000941Viral Pneumonia in Older Adults
Auteurs : Ann R. Falsey ; Edward E. WalshSource :
- Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America [ 1058-4838 ] ; 2006.
Abstract
Viruses account for a substantial portion of respiratory illnesses, including pneumonia, in the elderly population. Presently, influenza virus A H3N2 and respiratory syncytial virus are the most commonly identified viral pathogens in older adults with viral pneumonia. As diagnostic tests such as reverse-transcription polymerase chain reaction become more widely used, the relative importance of additional viruses (such as parainfluenza, rhinoviruses, coronaviruses, and human metapneumovirus) will likely increase. Influenza virus should be considered as a cause of pneumonia during the winter months, especially during periods of peak activity. Patients with high-grade fever, myalgias, and cough should arouse the highest suspicion. Respiratory syncytial virus pneumonia should also be suspected during the winter in patients with coryza, wheezing, low-grade fever, and patchy infiltrates, especially if negative for influenza on rapid testing. Because clinical features and periods of activity for many viruses overlap, laboratory confirmation of influenza is recommended for cases involving seriously ill or institutionalized patients.
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DOI: 10.1086/499955
PubMed: 16421796
PubMed Central: 7107847
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Viral Pneumonia in Older Adults</title><author><name sortKey="Falsey, Ann R" sort="Falsey, Ann R" uniqKey="Falsey A" first="Ann R." last="Falsey">Ann R. Falsey</name></author><author><name sortKey="Walsh, Edward E" sort="Walsh, Edward E" uniqKey="Walsh E" first="Edward E." last="Walsh">Edward E. Walsh</name></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">16421796</idno><idno type="pmc">7107847</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7107847</idno><idno type="RBID">PMC:7107847</idno><idno type="doi">10.1086/499955</idno><date when="2006">2006</date><idno type="wicri:Area/Pmc/Corpus">000940</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000940</idno><idno type="wicri:Area/Pmc/Curation">000940</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000940</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Viral Pneumonia in Older Adults</title><author><name sortKey="Falsey, Ann R" sort="Falsey, Ann R" uniqKey="Falsey A" first="Ann R." last="Falsey">Ann R. Falsey</name></author><author><name sortKey="Walsh, Edward E" sort="Walsh, Edward E" uniqKey="Walsh E" first="Edward E." last="Walsh">Edward E. Walsh</name></author></analytic><series><title level="j">Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America</title><idno type="ISSN">1058-4838</idno><idno type="eISSN">1537-6591</idno><imprint><date when="2006">2006</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><title>Abstract</title><p>Viruses account for a substantial portion of respiratory illnesses, including pneumonia, in the elderly population. Presently, influenza virus A H3N2 and respiratory syncytial virus are the most commonly identified viral pathogens in older adults with viral pneumonia. As diagnostic tests such as reverse-transcription polymerase chain reaction become more widely used, the relative importance of additional viruses (such as parainfluenza, rhinoviruses, coronaviruses, and human metapneumovirus) will likely increase. Influenza virus should be considered as a cause of pneumonia during the winter months, especially during periods of peak activity. Patients with high-grade fever, myalgias, and cough should arouse the highest suspicion. Respiratory syncytial virus pneumonia should also be suspected during the winter in patients with coryza, wheezing, low-grade fever, and patchy infiltrates, especially if negative for influenza on rapid testing. Because clinical features and periods of activity for many viruses overlap, laboratory confirmation of influenza is recommended for cases involving seriously ill or institutionalized patients.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Miller, Ra" uniqKey="Miller R">RA Miller</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Weksler, Me" uniqKey="Weksler M">ME Weksler</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Effros, Rb" uniqKey="Effros R">RB Effros</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="File, Tm" uniqKey="File T">TM File</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Thompson, Ww" uniqKey="Thompson W">WW Thompson</name></author><author><name sortKey="Shay, Dk" uniqKey="Shay D">DK Shay</name></author><author><name sortKey="Weintraub, E" 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<front><journal-meta><journal-id journal-id-type="nlm-ta">Clin Infect Dis</journal-id><journal-id journal-id-type="iso-abbrev">Clin. Infect. Dis</journal-id><journal-id journal-id-type="hwp">cid</journal-id><journal-id journal-id-type="publisher-id">cid</journal-id><journal-title-group><journal-title>Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America</journal-title></journal-title-group><issn pub-type="ppub">1058-4838</issn><issn pub-type="epub">1537-6591</issn><publisher><publisher-name>The University of Chicago Press</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">16421796</article-id><article-id pub-id-type="pmc">7107847</article-id><article-id pub-id-type="doi">10.1086/499955</article-id><article-categories><subj-group subj-group-type="heading"><subject>Invited Reviews</subject><subj-group subj-group-type="category-toc-heading"><subject>Aging and Infectious Disease</subject></subj-group></subj-group></article-categories><title-group><article-title>Viral Pneumonia in Older Adults</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Falsey</surname><given-names>Ann R.</given-names></name><xref ref-type="corresp" rid="cor1"></xref><pmc-comment>ann.falsey@viahealth.org </pmc-comment>
</contrib><contrib contrib-type="author"><name><surname>Walsh</surname><given-names>Edward E.</given-names></name></contrib></contrib-group><aff id="aff1"><label>1</label><institution>Department of Medicine at Rochester General Hospital</institution>,<addr-line>Rochester, New York</addr-line></aff><aff id="aff2"><label>2</label><institution>Department of Medicine, University of Rochester School of Medicine and Dentistry</institution>,<addr-line>Rochester, New York</addr-line></aff><author-notes><corresp id="cor1">Reprints or correspondence: Dr. Ann R. Falsey, Infectious Diseases Unit, Rochester General Hospital, 1425 Portland Ave., Rochester, NY 14621 (<email>ann.falsey@viahealth.org</email>).</corresp></author-notes><pub-date pub-type="ppub"><day>15</day><month>2</month><year>2006</year></pub-date><pub-date pub-type="epub" iso-8601-date="2006-02-15"><day>15</day><month>2</month><year>2006</year></pub-date><pub-date pub-type="pmc-release"><day>15</day><month>2</month><year>2006</year></pub-date><pmc-comment> PMC Release delay is 0 months and 0 days and was based on the
<volume>42</volume><issue>4</issue><fpage>518</fpage><lpage>524</lpage><history><date date-type="received"><day>12</day><month>9</month><year>2005</year></date><date date-type="accepted"><day>19</day><month>10</month><year>2005</year></date></history><permissions><copyright-statement>© 2006 by the Infectious Diseases Society of America</copyright-statement><copyright-year>2006</copyright-year><license><license-p>This article is made available via the PMC Open Access Subset for unrestricted re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the COVID-19 pandemic or until permissions are revoked in writing. Upon expiration of these permissions, PMC is granted a perpetual license to make this article available via PMC and Europe PMC, consistent with existing copyright protections.</license-p></license></permissions><self-uri xlink:href="42-4-518.pdf"></self-uri><abstract><title>Abstract</title><p>Viruses account for a substantial portion of respiratory illnesses, including pneumonia, in the elderly population. Presently, influenza virus A H3N2 and respiratory syncytial virus are the most commonly identified viral pathogens in older adults with viral pneumonia. As diagnostic tests such as reverse-transcription polymerase chain reaction become more widely used, the relative importance of additional viruses (such as parainfluenza, rhinoviruses, coronaviruses, and human metapneumovirus) will likely increase. Influenza virus should be considered as a cause of pneumonia during the winter months, especially during periods of peak activity. Patients with high-grade fever, myalgias, and cough should arouse the highest suspicion. Respiratory syncytial virus pneumonia should also be suspected during the winter in patients with coryza, wheezing, low-grade fever, and patchy infiltrates, especially if negative for influenza on rapid testing. Because clinical features and periods of activity for many viruses overlap, laboratory confirmation of influenza is recommended for cases involving seriously ill or institutionalized patients.</p></abstract></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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