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TriStar Centennial Medical Center

Conditions InDepth: Viral Upper Respiratory Infections (Colds and Influenza)

Viral upper respiratory infections come in every degree of severity and cause symptoms in the ears, sinuses, throat, and nose. This report will cover 2 of the most common respiratory infections: the common cold and influenza (the flu).

The Upper Respiratory Tract
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In the United States, the broad category of viral respiratory illness is responsible for many school and work absenteeisms.

Influenza travels around the globe in yearly winter epidemics of varying magnitude. Major epidemics occur every 10-15 years and may kill upwards of 40,000 people or more in the United States. Most of the deaths occur in the elderly and those weakened by chronic illnesses, such as heart and respiratory diseases.

The common cold is characterized by nasal congestion, a runny nose, sneezing, and perhaps a sore throat, headache, and malaise (not feeling well). A fever is unusual. Symptoms resolve on their own usually within 1-2 weeks.

There are at least 200 known rhinoviruses responsible for the symptoms of a common cold. Some of these may also affect the lower respiratory tract and cause other conditions. Other viruses, such as respiratory syncytial virus can cause severe pneumonia in infants.

Influenza is a very specific illness caused by influenza viruses. It has a characteristic seasonal cycle that peaks in the winter. It also has typical symptoms, although they vary greatly in severity among cases. It may feel similar to a common cold, but it usually causes a high fever (102°F-104°F), significant malaise, and a dry cough along with a runny nose, headache, muscle ache, and sore throat.

Influenza viruses are divided into three groups: A, B, and C. Influenza A is the cause of the worst epidemics. This is because it changes its identity often, so that a person’s previously developed immunity may not recognize the new variation.

International organizations like the World Health Organization (WHO) Epidemic and Pandemic Alert and Response (CSR) team are constantly searching the world for new variations of influenza viruses. Each year they attempt to identify the strains most likely to cause epidemics and make recommendations for developing vaccines against them.

What are the risk factors for colds and influenza?What are the symptoms of colds and influenza?How are colds and influenza diagnosed?What are the treatments for colds and influenza?Are there screening tests for colds and influenza?How can I reduce my risk of colds and influenza?What questions should I ask my doctor?Where can I get more information about colds and influenza?

Revision Information

  • Reviewer: David Horn, MD
  • Review Date: 08/2015 -
  • Update Date: 09/17/2014 -
  • Common cold. Merck Manual Professional Version website. Available at: Updated April 2014. Accessed August 11, 2015.

  • Influenza. Merck Manual Professional Version website. Available at: Updated April 2014. Accessed August 11, 2015.

  • Influenza in adults. EBSCO DynaMed website. Available at: Updated June 17, 2015. Accessed August 11, 2015.

  • Upper respiratory infection (URI) in adults and adolescents. EBSCO DynaMed website. Available at: Updated July 8, 2015. Accessed August 11, 2015.

The health information in this Health Library is provided by a third party. TriStar Health does not in any way create the content of this information. It is provided solely for informational purposes. It does not constitute medical advice and is not intended to be a substitute for proper medical care provided by a physician. Always consult with your doctor for appropriate examinations, treatment, testing, and care recommendations. Do not rely on information on this site as a tool for self-diagnosis. If you have a medical emergency, call 911.