Upper Respiratory Tract and Pharyngitis Infectious

Children with AOM often present with acute onset of fever, pain, or irritability. Older children complain of ear pain, whereas younger children may manifest only irritability. Affected children often have a history of preceding or concurrent upper respiratory tract symptoms. Several viral species cause the common cold. Symptoms are due to primary infection or reinfection with the same antigenic type. Infection is spread by airborne, droplet, or contact transmission. Viruses that usually spread by droplet transmission include adenoviruses, coronaviruses, and influenza viruses. Viruses spread by contact transmission include Respiratory Syncytial Virus (RSV), parainfluenza virus, enterovirus, and rhinovirus. Subsequent sloughing of

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