Case Analysis

Adenoviruses

Introduction

Adenoviruses are a group of viruses that can infect the membranes (tissue linings) of the respiratory tract, eyes, intestines, and urinary tract. They account for about 10% of acute respiratory infections in kids and are a frequent cause of diarrhea (Cheung, 2003).

Adenoviral infections affect babies and young children much more often than adults. Childcare centers and schools sometimes have multiple cases of respiratory infections and diarrhea caused by adenovirus. The below discussion is related to the case study of female who is suffering from this particular disease.

Case Analysis

Subjective

A 32-year-old white female with acute onset of left red eye beginning three days prior thinks her right eye is also becoming involved. Her roommate had red eyes two weeks prior. She complains of a watery discharge and her left eye hurts.

Note that the left eye has a subconjunctival hemorrhage overlying generalized conjunctival injection. This hemorrhage results from inflammation caused by the primary infectious process.

Objective

Visual acuity (VA): OD 6/6 (20/20); OS 6/7.5 (20/25)

Corneas: clear and do not stain with fluorescein

OD: 1+ conjunctival injection; clear lacrimal lake

OS: 3+ conjunctival injection; multiple petechial hemorrhages are seen within the injected conjunctiva

Palpation of the left preauricular area is positive for lymphadenopathy

Assessment

After the care full assessment of Classic adenoviral conjunctivitis (epidemic keratoconjunctivitis), left eye much more involved than the right (Cheung, 2003).

Treatment

Her left eye will be treated with several drops of 5% Betadine ophthalmic prep solution following proparacaine topical anesthesia. After one minute of Betadine exposure, both eyes will be thoroughly lavaged with a sterile saline rinse. Cold compresses p.r.n. Loteprednol etabonate 0.5% ophthalmic suspension q.i.d. OS

GenTeal artificial tears q.2h. OU

Keep hands away from face/eyes

Wash hands regularly throughout the day

Instructed in proper household hygiene

Re-evaluate in 3 to 5 days

If the patient is a contact lens wearer, wait two or three more days beyond clinical renormalization ...