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Table 101-2

Illnesses Associated with Respiratory Viruses

Frequency of Respiratory Syndromes
VirusMost FrequentOccasionalInfrequent
RhinovirusesCommon coldExacerbation of chronic bronchitis and asthmaPneumonia in children
Coronavirusesa,bCommon coldExacerbation of chronic bronchitis and asthmaPneumonia and bronchiolitis
Human respiratory syncytial virusPneumonia and bronchiolitis in young childrenCommon cold in adultsPneumonia in elderly and immunosuppressed pts
Parainfluenza virusesCroup and lower respiratory tract disease in young childrenPharyngitis and common coldTracheobronchitis in adults; lower respiratory tract disease in immunosuppressed pts
AdenovirusesCommon cold and pharyngitis in childrenOutbreaks of acute respiratory disease in military recruitscPneumonia in children; lower respiratory tract and disseminated disease in immunosuppressed pts
Influenza A virusesInfluenzadPneumonia and excess mortality in high-risk ptsPneumonia in healthy individuals
Influenza B virusesInfluenzadRhinitis or pharyngitis alonePneumonia
EnterovirusesAcute undifferentiated febrile illnesseseRhinitis or pharyngitis alonePneumonia
Herpes simplex virusesGingivostomatitis in children; pharyngotonsillitis in adultsTracheitis and pneumonia in immunocompromised ptsDisseminated infection in immunocompromised pts
Human metapneumovirusesUpper and lower respiratory tract disease in childrenUpper respiratory tract illness in adultsPneumonia in elderly and immunosuppressed pts

aSevere acute respiratory syndrome-associated coronavirus (SARS-CoV) caused epidemics of pneumonia from November 2002 to July 2003 (see text).

bMiddle East respiratory syndrome coronavirus (MERS-CoV) has caused severe respiratory illnesses from 2012 to the time of this writing (2015); see text.

cSerotypes 4 and 7 most commonly; also serotypes 14 and 21.

dFever, cough, myalgia, malaise.

eMay or may not have a respiratory component.