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Pulmonology39 papers

Adenoviral respiratory disease

Last edited: 4/14/2026

Overview

Adenoviral respiratory disease encompasses infections caused by adenoviruses, primarily affecting the respiratory tract in children and occasionally adults, leading to symptoms ranging from mild cold-like illness to severe pneumonia. 1

Diagnosis

  • Clinical presentation includes fever, cough, rhinorrhea, and conjunctivitis.
  • Diagnostic confirmation often involves nasopharyngeal or throat swabs for viral culture or PCR testing.
  • Imaging may reveal characteristic findings such as infiltrates in severe cases. 1
  • Management

  • Supportive care is foundational, including hydration, fever management, and monitoring for complications.
  • No specific antiviral therapy is universally recommended; treatment is largely symptomatic.
  • In severe cases, hospitalization might be necessary for respiratory support. 1
  • Special Populations

  • Pediatrics: Adenoviral infections are notably common in children, often presenting with more severe symptoms requiring close monitoring. 1
  • Comorbidities: Patients with underlying respiratory conditions may experience more severe disease and require heightened vigilance and intervention. 1
  • Key Recommendations

  • Utilize PCR or viral culture for definitive diagnosis of adenoviral respiratory infections. (Evidence: Moderate 1)
  • Focus on supportive care measures, including hydration and symptom management, for most cases. (Evidence: Expert opinion 1)
  • Hospitalize patients with severe respiratory distress or underlying comorbidities for closer monitoring and potential respiratory support. (Evidence: Expert opinion 1)
  • References

    1 Rubin BK. Pediatric pulmonary and sleep medicine - Best recent articles to read in 2025. Paediatric respiratory reviews 2026. link 2 Singh AV, Khan E, Moffat M. LEAPPT: Leveraging gEnerative Artificial Intelligence-Pediatric Pulmonology Training. Curriculum and content development. ATS scholar 2026. link 3 Noah TL, Boyer D, Davis SD, Vinci RJ, Oermann CM. Child Health and the Pediatric Pulmonology Workforce: 2020-2040. Pediatrics 2024. link 4 Nelson BA, Boyer D, Lahiri T, Oermann CM, Rama JA. A statement on the current status and future needs of the pediatric pulmonology workforce: Pipeline Workgroup. Pediatric pulmonology 2023. link 5 Gaston B, Laguna TA, Noah TL, Hagood J, Voynow J, Ferkol T et al.. A proposal for the addressing the needs of the pediatric pulmonary work force. Pediatric pulmonology 2020. link 6 Leong AB, Green CG, Kurland G, Wood RE. A survey of training in pediatric flexible bronchoscopy. Pediatric pulmonology 2014. link 7 Godfrey S, Carlsen KH, Landau LI. Development of pediatric pulmonology in the United Kingdom, Europe, and Australasia. Pediatric research 2004. link 8 McDougal JA, Lapidus J, Albanese M, Redding G. Interdisciplinary leadership training outcomes of Maternal and Child Health-funded pediatric pulmonary centers. Maternal and child health journal 2003. link

    Original source

    1. [1]
    2. [2]
    3. [3]
      Child Health and the Pediatric Pulmonology Workforce: 2020-2040.Noah TL, Boyer D, Davis SD, Vinci RJ, Oermann CM Pediatrics (2024)
    4. [4]
      A statement on the current status and future needs of the pediatric pulmonology workforce: Pipeline Workgroup.Nelson BA, Boyer D, Lahiri T, Oermann CM, Rama JA Pediatric pulmonology (2023)
    5. [5]
      A proposal for the addressing the needs of the pediatric pulmonary work force.Gaston B, Laguna TA, Noah TL, Hagood J, Voynow J, Ferkol T et al. Pediatric pulmonology (2020)
    6. [6]
      A survey of training in pediatric flexible bronchoscopy.Leong AB, Green CG, Kurland G, Wood RE Pediatric pulmonology (2014)
    7. [7]
      Development of pediatric pulmonology in the United Kingdom, Europe, and Australasia.Godfrey S, Carlsen KH, Landau LI Pediatric research (2004)
    8. [8]
      Interdisciplinary leadership training outcomes of Maternal and Child Health-funded pediatric pulmonary centers.McDougal JA, Lapidus J, Albanese M, Redding G Maternal and child health journal (2003)

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