Symptoms and Illnesses

Little girl having a cold.

Human parainfluenza viruses (HPIVs) commonly cause upper and lower respiratory illnesses in infants, young children, older adults, and people with weakened immune systems, but anyone can get infected. After you get infected, it takes about 2 to 7 days before you develop symptoms.

Symptoms of upper respiratory illness may include

  • fever
  • runny nose
  • cough

Symptoms of lower respiratory illness may include

  • croup (infection of the vocal cords (larynx), windpipe (trachea) and bronchial tubes (bronchi))
  • bronchitis (infection of the main air passages that connect the windpipe to the lungs)
  • bronchiolitis (infection in the smallest air passages in the lungs)
  • pneumonia (an infection of the lungs)

Other symptoms of HPIV illness may include

  • sore throat
  • sneezing
  • wheezing
  • ear pain
  • irritability
  • decreased appetite

If your symptoms are severe or do not improve, you should seek medical attention.

You can have multiple HPIV illnesses in your lifetime.

Different Types of HPIVs

  • HPIV-1 and HPIV-2 both cause croup, with HPIV-1 most often identified as the cause in children. Both can also cause upper and lower respiratory illness, and cold-like symptoms.
  • HPIV-3 is more often associated with bronchiolitis, bronchitis, and pneumonia.
  • HPIV-4 is recognized less often but may cause mild to severe respiratory illnesses.

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