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Microbiology · Virology: adenovirus
Sample itemSeveral children at a summer camp develop fever, sore throat and unilateral conjunctivitis after swimming in a shared pool. Which virus is most likely?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Adenovirus
Adenoviruses are non-enveloped double-stranded DNA viruses that cause pharyngoconjunctival fever, linked with swimming pools and serotypes 3 and 7. They also cause epidemic keratoconjunctivitis, acute respiratory disease in recruits, and haemorrhagic cystitis in the immunosuppressed. They resist many disinfectants.
Option by option
A. Coxsackievirus A16
Coxsackievirus A16 causes hand, foot and mouth disease.
B. Influenza A virus
Influenza causes systemic illness with cough rather than conjunctivitis.
C. Enterovirus 70
Enterovirus 70 causes acute haemorrhagic conjunctivitis without pharyngitis.
D. Adenovirus (correct)
Correct. Pharyngitis with conjunctivitis after pool exposure is typical of adenovirus.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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