“…Latent viruses, such as HSVs and CMV, are commonly reactivated and may produce chronic infections (40,108,109). Adenovirus infections also become prolonged and may result in serious disease (54,116 (58) and enzyme immunoassay (EIA) (8,16,85,86,114). More recently, the shell vial technique, which was originally described for the rapid identification of CMV (27), has been used for the diagnosis of respiratory viruses (18,49,57,69,78,89 (94), and one study observed greater than 35% mixed infections in patients with viral infections (112); the total number of positive specimens in these studies was small, 21 and 17, respectively.…”