Adenovirus Symptoms in Children Before Air Travel

Adenovirus and Air Travel

Hello Doctor, my child started having a high fever of 38.8°C on the evening of Sunday, May 21.
After visiting the emergency room, it was confirmed that it is neither COVID-19 nor influenza.
After returning home, the fever has been intermittent, reaching around 39°C.
The fever can be reduced with antipyretics or rectal suppositories.
When not feverish, my child seems relatively alert but has a poor appetite and experiences frequent diarrhea (watery stools), needing to change diapers three times in one night.
However, my child is drinking well and the diapers are still wet.
Two days later, during a follow-up visit to the pediatrician on May 23, it was confirmed that there is tonsillitis, breathing is normal with no pneumonia, and there are no symptoms in the ears.
It is suspected to be either adenovirus or roseola.
Just now, we started noticing that my child has conjunctivitis, which we suspect is also due to adenovirus.
Currently, when my child takes medication and antipyretics, they seem relatively okay for a few hours, but the appetite is still poor and they are easily fatigued.

We have two questions for the doctor: First, based on our description, do the symptoms align with those of adenovirus? If it is confirmed to be adenovirus, aside from increasing fluid intake and rest, is there anything specific we should pay attention to? Second, we need to fly back to the UK for work on Saturday, May 27 (with a travel time of about 15 hours).
How can we determine if our child's condition is suitable for flying? If flying is necessary, what measures can we take to alleviate our child's symptoms?

Xiao Pigu de Ba, 30~39 year old female. Ask Date: 2023/05/24

Dr. He Zongxian reply Pediatrics

Dear Parent of the Little One,
Based on the symptoms you described (without mentioning the child's age), your child's symptoms (high fever, loss of appetite, diarrhea, and red eyes) are indeed consistent with adenovirus infection.
However, I would like to remind you that these symptoms could also be early signs of Kawasaki disease, which commonly affects children under the age of 5.
The typical symptoms of Kawasaki disease include a high fever (lasting more than 5 days), red eyes, a swollen and red throat, swelling and redness of the hands and feet, as well as rashes and redness of the mouth or tongue.
Additionally, a negative COVID-19 test on the first day of fever does not completely rule out the possibility of a COVID-19 infection.
If your child is indeed infected with adenovirus, in addition to ensuring that they stay hydrated and get plenty of rest, you should closely monitor their symptoms for any worsening.
Adenovirus infections usually resolve on their own, but if symptoms persist or worsen, please contact a physician immediately.
If Kawasaki disease is suspected, you should seek medical attention right away, as timely treatment is crucial to prevent long-term heart-related issues.
Treatment for Kawasaki disease typically requires hospitalization and involves the use of intravenous immunoglobulin and aspirin.
Regarding your second question about flying back to the UK on May 27, this is a matter that requires careful consideration.
You need to ensure that your child's health is stable before traveling and discuss with your doctor whether it is appropriate for them to fly.
If your child is diagnosed with Kawasaki disease, extra caution may be necessary.
During the flight, make sure to carry enough medication and encourage your child to drink water frequently to avoid dehydration.
If you have any questions or concerns, please discuss them further with your physician.
I hope these suggestions are helpful, and I wish your child a speedy recovery.
Sincerely,
He Zongxian, Tainan Hospital

Reply Date: 2023/05/24

More Info

Based on your description, it seems that your child is experiencing symptoms consistent with adenovirus infection. Adenovirus can cause a variety of illnesses in children, including fever, sore throat, conjunctivitis (red eye), and gastrointestinal symptoms such as diarrhea. The high fever, intermittent nature of the fever, and the presence of a sore throat (indicated by the inflammation of the tonsils) align well with adenoviral symptoms. Additionally, the gastrointestinal symptoms you mentioned, such as watery diarrhea, can also occur with adenovirus infections.

Understanding Adenovirus Symptoms
Adenovirus is known for causing respiratory illnesses, but it can also lead to gastrointestinal issues and conjunctivitis. The symptoms can vary widely, and in children, they may include:
1. Fever: Often high, as you noted with your child experiencing temperatures around 39°C (102°F).

2. Sore Throat: Inflammation of the tonsils can cause discomfort and difficulty swallowing.

3. Conjunctivitis: Red eyes can indicate viral conjunctivitis, which is often associated with adenovirus.

4. Gastrointestinal Symptoms: Diarrhea, vomiting, and abdominal pain can occur, as seen in your child's case.

5. Fatigue and Decreased Appetite: Common in viral infections, children may feel tired and have reduced interest in food.

Recommendations for Care
Given that adenovirus is typically self-limiting, the primary focus should be on supportive care:
- Hydration: Ensure your child stays well-hydrated, especially with diarrhea. Offer clear fluids like water, oral rehydration solutions, or electrolyte drinks.

- Rest: Encourage plenty of rest to help the body fight off the virus.

- Symptomatic Relief: Continue to use fever-reducing medications like acetaminophen or ibuprofen as needed, following the dosing guidelines for your child's age and weight.

Preparing for Air Travel
Regarding your upcoming flight, here are some considerations:
1. Assessing Travel Readiness: Before deciding to travel, consider the following:
- Fever and Symptoms: If your child is still experiencing a high fever or significant symptoms (like persistent diarrhea or fatigue), it may be best to postpone travel. Consult your pediatrician for advice.

- Energy Levels: If your child is alert, drinking fluids, and showing improvement in symptoms, they may be fit to travel.

2. Travel Tips:
- Hydration: Bring plenty of fluids for the flight to keep your child hydrated.

- Comfort Items: Pack familiar items like a favorite blanket or toy to help comfort your child during the flight.

- Frequent Bathroom Breaks: If your child is still experiencing diarrhea, plan for frequent bathroom breaks.

- Medication: Bring any medications your child may need, including fever reducers and any prescribed medications for their symptoms.

3. Consulting a Doctor: Before flying, it’s advisable to have a follow-up consultation with your pediatrician. They can provide a thorough assessment and may suggest additional precautions or medications to take along.

Conclusion
In summary, your child's symptoms are indeed consistent with adenovirus infection. Focus on hydration, rest, and symptomatic relief. Before traveling, ensure your child is stable and consult with your healthcare provider for tailored advice. Safe travels, and I hope your child feels better soon!

Similar Q&A

Do Children with Adenovirus Need Cardiac Follow-Up After Symptoms?

My daughter is 3 years old and 10 months. Since April 23, she had a fever for 5 days and tested positive for adenovirus at the clinic. Her symptoms included 1. high fever 2. unilateral conjunctivitis 3. mild tonsillitis 4. mild otitis media. Additionally, she did not exhibit any ...

Dr. Xie Wanghu reply Pediatrics
Hello, 1. A 1.3-year-old child. 2. Has had a fever for 5 days since April 23. 3. Positive for adenovirus rapid test. 4. Related to Kawasaki disease, with only 5 days of fever and conjunctivitis. 5. Should not meet the diagnostic criteria for Kawasaki disease. 6. If there i...

Understanding Adenovirus and Lymph Node Swelling in Children

I would like to ask the doctor about my 5-year-old son. He started having a persistent fever last Monday that didn't go down. After four days, we took him to a large hospital for blood tests, urine tests, and a throat rapid test. The results indicated that he has an adenovir...

Dr. Hu Ziren reply Oncology
Infectious diseases can also cause lymphadenopathy, so it is recommended to simply monitor the condition.

Identifying Long COVID Symptoms in Children: A Guide for Parents

A small child, who is three days into experiencing cold symptoms since August 8, has occasional fever and poor appetite. There is another child at home who has been diagnosed with a viral infection. How can we differentiate if the child has contracted the virus?

Dr. Hong Shaohui reply Pediatrics
Hello, to determine the specific type of enterovirus infection, testing must be conducted at a medical center for viral screening.

Understanding EB Virus Infection in Children: Symptoms, Transmission, and Long-Term Effects

What are the symptoms of Epstein-Barr virus (EBV) infection? How is it transmitted? Are there any long-term effects? My relative's child (1 year and 6 months old) recently had a fever, abdominal swelling, and loss of appetite, and was suspected of having EBV infection during...

Dr. Gu Qingxian reply Pediatrics
EB virus infection is primarily transmitted through close contact and saliva. Symptoms include general fatigue, fever, sore throat, generalized lymphadenopathy, and hepatosplenomegaly. In young children, symptoms may be less pronounced. Laboratory diagnosis: leukocytosis, incre...