Table 1

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