In adult patients presenting with an acute onset of cough, what is the most frequent underlying cause?

A Bacterial pneumonia

B Viral upper respiratory tract infection

C Acute bronchitis due to Mycoplasma

D Gastroesophageal reflux disease

Solution

Correct Answer: Option B

- The most common cause of an acute onset of cough in adults is a viral upper respiratory tract infection (URTI).
- These infections are typically caused by viruses such as rhinoviruses, coronaviruses, and influenza viruses. They cause inflammation of the upper airway mucosa, which triggers a cough.
- Unlike bacterial infections such as pneumonia, viral URTIs generally present with a short duration of illness, a non-productive (dry) cough, and absence of focal chest signs.
- One common manifestation of such viral infection is acute bronchitis.

Reference: Davidson’s Principles and Practice of Medicine, 24th Edition, Chapter: Diseases of the Respiratory Tract, Page 800.

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