|
Clinical and immunologic characteristics of major viruses found in the intensive care unit |
|||||||
| Influenza |
RSV |
SARS-CoV |
VZV |
Adenovirus |
CMV |
VHF |
|
|
|
|||||||
| Virus family |
Orthomyxovirdae |
Paramyxovirdae |
Coronaviridae |
Herpesvirdae |
Adenoviridae |
Herpesviridae |
Filoviridae |
| Epidemiologic link |
Seasonal epidemic |
Seasonal epidemic, immunocompromised and transplant |
Laboratory exposure on known infected individual |
Contact with infected individual |
Military camps, mental health facilities |
Transplantation, immunosuppressive medications |
Endemic area or contact with infected individual |
| Pulmonary clinical findings |
Primary Alveolar Pneumonia |
Upper respiratory tract infection, bronchiolitis, pneumonia |
Rapid progressive pneumonia, ARDS |
Primary alveolar pneumonia |
Alveolar pneumonia with bronchiolitis |
Interstitial pneumonitis, bronchiolitis |
Alveolar edema |
| Lipid envelope |
Yes |
Yes |
Yes |
Yes |
No |
Yes |
Yes |
| Major receptor for cell entry |
Sialic acid |
RSV glycoprotein G |
CD209L ACE 2 |
Glycoprotein C and D |
Coksackie-adenovirus receptor |
Unknown, involves integrens |
Folate receptor Alpha |
| Primary cell of infection |
Type 1 respiratory epithelium |
Type 1 respiratory epithelium |
Type 1 respiratory epithelium |
Macrophage and dendritic cells |
Type 1 respiratory epithelium |
Multiple |
Macrophages and dendritic cells |
| Viremia |
No |
No |
Yes |
Yes |
Yes |
Yes |
Yes |
| Primary host immunity |
Humoral |
Humoral |
Unknown |
Cellular |
Cellular |
Cellular |
Humoral |
|
ARDS, acute respiratory distress syndrome; CMV, cytomegalovirus; RSV, respiratory syncytial virus; SARS-CoV, severe acute respiratory syndrome-coronavirus; VHF, viral hemorrhagic fever; VZV, varicella-zoster virus. | |||||||
Stollenwerk et al. Critical Care 2008 12:219 doi:10.1186/cc6917 |
|||||||