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Definisjon:
Virusinfeksjon i slimhinner i øvre luftveier. Rhinovirus vanlig agens, men også andre virus kan forårsake tilstanden. Dråpesmitte, men også kontaktsmitte slik at god håndhygiene kan beskytte.
Forekomst:
Nøyaktig forekomst ikke kjent. Barn typisk 6-8 episoder i året, voksne 2-4.
Symptomer:
Sår hals, slapphet og lavgradig feber i starten. Disse symptomene avtar og etterfølges av nesetetthet, snue og hoste som kommer i løpet av 24 til 48 timer etter symptomstart.
Funn:
Rød i svelget, ødematøs neseslimhinne. Adenovirus hos barn gir ofte konjunktival injeksjon.
Diagnostikk:
CRP kan være nyttig ved mistanke om bakteriell infeksjon. Adenovirus hos barn kan gi høye CRP-verdier (100mg/l)
Behandling:
Symptomatisk behandling. Neseskylling kan lindre. Slimhinneavsvellende nesespray/dråper begrenses til en uke.
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  • Ingard Løge, spesialist allmennmedisin, redaktør NEL

Tidligere fagmedarbeidere

  • Kurt Østhuus Krogh, spesialist i barnesykdommer, Barne- og ungdomsklinikken, St. Olavs Hospital, Trondheim
  • Morten Lindbæk, amanuensis, spesialist i allmennmedisin, Institutt for samfunnsmedisinske fag, Universitetet i Oslo
  • Per Møller, professor, spesialist i øre/nese/hals, Haukeland sykehus, Universitetet i Bergen