Author: Jartti, Laura; Langen, Henriikka; Söderlund-Venermo, Maria; Vuorinen, Tytti; Ruuskanen, Olli; Jartti, Tuomas
Title: New Respiratory Viruses and the Elderly Document date: 2011_7_6
ID: 7fwzohmu_27
Snippet: Making a clinical diagnosis of a respiratory viral illness for elderly patients poses a challenge. The clinical picture is much more blurred in comparison to the typical upper respiratory infection, seen in children and young adults [35, [125] [126] [127] . Viral infections are usually due to reinfection, and elderly adults usually have some degree of immunity [128] . Because of pre-existing systemic and mucosal antibodies, elderly adults have pr.....
Document: Making a clinical diagnosis of a respiratory viral illness for elderly patients poses a challenge. The clinical picture is much more blurred in comparison to the typical upper respiratory infection, seen in children and young adults [35, [125] [126] [127] . Viral infections are usually due to reinfection, and elderly adults usually have some degree of immunity [128] . Because of pre-existing systemic and mucosal antibodies, elderly adults have probably lower amounts of respiratory secretions and lower viral loads as compared to children. Among elderly patients respiratory viral illness may accompany symptoms of lower respiratory tract involvement, pulmonary and cardiac failure, and nonspecific or atypical symptoms such as confusion, anorexia, dizziness, falls and lack of fever [125] [126] [127] [128] . Finally, some elderly may also be unable to articulate their symptoms clearly, something they have in common with infants [128] .
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