Enterovirus-Rhinovirus-Induced Acute Respiratory Distress Syndrome in Adults: A Case Report and Short Literature Review

Enteroviruses and rhinoviruses (EV-RV) are small RNA viruses that usually cause the common cold and asthma exacerbations. Although EV-RV-induced acute respiratory distress syndrome (ARDS) is common in children, only scattered reports of ARDS in adults have been published. The diagnosis has been grea...

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Main Authors: Eirini Avgoustou, Aikaterini Spyridaki, Giorgos Pothitos, Antonios Papadopoulos, Spyridon Kois, Foula Vassilara
Format: Article
Language:English
Published: Wiley 2023-01-01
Series:Case Reports in Infectious Diseases
Online Access:http://dx.doi.org/10.1155/2023/8887955
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author Eirini Avgoustou
Aikaterini Spyridaki
Giorgos Pothitos
Antonios Papadopoulos
Spyridon Kois
Foula Vassilara
author_facet Eirini Avgoustou
Aikaterini Spyridaki
Giorgos Pothitos
Antonios Papadopoulos
Spyridon Kois
Foula Vassilara
author_sort Eirini Avgoustou
collection DOAJ
description Enteroviruses and rhinoviruses (EV-RV) are small RNA viruses that usually cause the common cold and asthma exacerbations. Although EV-RV-induced acute respiratory distress syndrome (ARDS) is common in children, only scattered reports of ARDS in adults have been published. The diagnosis has been greatly facilitated by the advent of molecular techniques, namely, real-time polymerase chain reaction (RT-PCR). EV-RV can cause ARDS by stimulating a cytokine cascade. No antiviral therapy has yet been approved, and treatment is entirely supportive. Herein, we report a rare case of EV-RV infection in an afebrile adult with dyspnea that rapidly progressed to acute lung injury and ARDS. EV-RV was isolated with multiple real-time PCR in nasopharyngeal and bronchial specimens, while no other pathogen was detected. We also present an up-to-date review of relevant literature, in an attempt to stress the importance of the early identification of viral culprits, which can minimize the use of invasive diagnostic procedures and antibiotic agents.
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spelling doaj-art-2d70da4ceddd4940b65efdd6d233196b2025-08-20T03:18:42ZengWileyCase Reports in Infectious Diseases2090-66332023-01-01202310.1155/2023/8887955Enterovirus-Rhinovirus-Induced Acute Respiratory Distress Syndrome in Adults: A Case Report and Short Literature ReviewEirini Avgoustou0Aikaterini Spyridaki1Giorgos Pothitos2Antonios Papadopoulos3Spyridon Kois4Foula Vassilara55th Department of Internal MedicineDepartment of Internal Medicine5th Department of Internal Medicine4th Department of Internal Medicine5th Department of Internal Medicine5th Department of Internal MedicineEnteroviruses and rhinoviruses (EV-RV) are small RNA viruses that usually cause the common cold and asthma exacerbations. Although EV-RV-induced acute respiratory distress syndrome (ARDS) is common in children, only scattered reports of ARDS in adults have been published. The diagnosis has been greatly facilitated by the advent of molecular techniques, namely, real-time polymerase chain reaction (RT-PCR). EV-RV can cause ARDS by stimulating a cytokine cascade. No antiviral therapy has yet been approved, and treatment is entirely supportive. Herein, we report a rare case of EV-RV infection in an afebrile adult with dyspnea that rapidly progressed to acute lung injury and ARDS. EV-RV was isolated with multiple real-time PCR in nasopharyngeal and bronchial specimens, while no other pathogen was detected. We also present an up-to-date review of relevant literature, in an attempt to stress the importance of the early identification of viral culprits, which can minimize the use of invasive diagnostic procedures and antibiotic agents.http://dx.doi.org/10.1155/2023/8887955
spellingShingle Eirini Avgoustou
Aikaterini Spyridaki
Giorgos Pothitos
Antonios Papadopoulos
Spyridon Kois
Foula Vassilara
Enterovirus-Rhinovirus-Induced Acute Respiratory Distress Syndrome in Adults: A Case Report and Short Literature Review
Case Reports in Infectious Diseases
title Enterovirus-Rhinovirus-Induced Acute Respiratory Distress Syndrome in Adults: A Case Report and Short Literature Review
title_full Enterovirus-Rhinovirus-Induced Acute Respiratory Distress Syndrome in Adults: A Case Report and Short Literature Review
title_fullStr Enterovirus-Rhinovirus-Induced Acute Respiratory Distress Syndrome in Adults: A Case Report and Short Literature Review
title_full_unstemmed Enterovirus-Rhinovirus-Induced Acute Respiratory Distress Syndrome in Adults: A Case Report and Short Literature Review
title_short Enterovirus-Rhinovirus-Induced Acute Respiratory Distress Syndrome in Adults: A Case Report and Short Literature Review
title_sort enterovirus rhinovirus induced acute respiratory distress syndrome in adults a case report and short literature review
url http://dx.doi.org/10.1155/2023/8887955
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