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Rhinovirus

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Rhinovirus

The rhinovirus (from the Ancient Greek: ῥίς, romanizedrhis "nose", gen ῥινός, romanized: rhinos "of the nose", and the Latin: vīrus) is a positive-sense, single-stranded RNA virus belonging to the genus Enterovirus in the family Picornaviridae. Rhinovirus is the most common viral infectious agent in humans and is the predominant cause of the common cold.

The three species of rhinovirus (A, B, and C) include at least 165 recognized types that differ according to their surface antigens or genetics. They are among the smallest viruses, with diameters of about 30 nanometers. By comparison, other viruses, such as smallpox and vaccinia, are around ten times larger at about 300 nanometers, while influenza viruses are around 80–120 nm.

Rhinoviruses are transmitted through aerosols, respiratory droplets, fomites, and direct person-to-person contact. They primarily infect nasal epithelial cells in the airway and cause mild symptoms such as sore throat, cough, and nasal congestion. However, rhinovirus infection can cause more severe disease in infants, the elderly, and the immunocompromised. Rhinoviruses are also recognized as a major cause of asthma exacerbations.

As of September 2025 there are no FDA-approved vaccines or antiviral treatments for rhinovirus infection.

In 1953, when a cluster of nurses developed a mild respiratory illness, Winston Price, from Johns Hopkins University, took nasal passage samples and isolated the first rhinovirus, which he called the JH virus, named after Johns Hopkins. His findings were published in 1956.

In 2006, advancements in molecular testing techniques for identifying rhinoviruses in clinical specimens led to the discovery of rhinovirus C species in samples from Queensland, Australia and New York City, United States. The ICTV formally designated RV-C as a separate species in 2009.

Rhinoviruses may be spread via airborne aerosols, respiratory droplets and from fomites (contaminated surfaces), including direct person-to-person contact. Rhinoviruses can survive on surfaces such as stainless steel or plastic for several hours. Airborne precautions are likely effective in reducing transmission, while other precautions such as hand-washing or cleaning surfaces with disinfectants are known effective in preventing rhinovirus transmission.

Rhinoviruses are the primary cause of the common cold. Symptoms include sore throat, runny nose, nasal congestion, sneezing and cough; sometimes accompanied by muscle aches, fatigue, malaise, headache, muscle weakness, or loss of appetite. Fever and extreme exhaustion are less common in rhinovirus infection compared to influenza, but rhinovirus can cause lower respiratory tract infection and the pneumonia can, in young children, be fatal.

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