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Congenital Enterovirus Infection
Enterovirus Antenatal Infection

Presentation

In infants who are live-born, effects of fetal infection may present as preterm birth, intrauterine growth restriction (IUGR), congenital anomalies, or local or systemic signs of infection. [accesspediatrics.mhmedical.com]

It presents as a large number of firmly adherent, small, white plaques that may interfere with feeding by making the mouth sore. [patient.info]

One patient presented with hepatitis without disseminated intravascular coagulopathy ( 3 ). [nature.com]

[…] but may be confirmed with laboratory studies Differential Rickettsia rickettsii i nfection distinguishing factor presents with rash on palms and soles but is often not macular and vesicular in nature Chickenpox distinguishing factor pruritic,vesicular [medbullets.com]

There is need for increased awareness of presenting symptoms and early testing. Collaboration with obstetrics and microbiology expedites testing in mothers with pyrexia of unknown origin. [infantjournal.co.uk]

Entire Body System

  • Fever

    Fever can make a child look unwell. Using children’s acetaminophen (Tylenol) or ibuprofen (Advil) can help bring down the fever. [bccdc.ca]

    Children may get a fever and develop a sore throat. They sometimes lose their appetites and don't feel well. One or two days after the fever begins, painful sores may develop in the front of the mouth or throat. [mayoclinic.org]

    CDC FAQ's Typhoid Fever, Group D Typhus Vaginosis, bacterial (Yeast Infection) CDC FAQ's Varicella (Chickenpox) CDC FAQ's More Data Vibrio cholerae (Cholera) CDC FAQ's Vibriosis (Vibrio) CDC FAQ's Viral Hemorrhagic Fever (Ebola, Lassa, Marburg) CDC [health.ri.gov]

    This infant was brought to the emergency department with fever of unknown origin at 5 days post birth, and EV was first detected in a throat swab sample. [analesdepediatria.org]

    The current pandemic as well as those caused by Zika, influenza, Ebola and Lassa Fever (among many) have shown pregnant women and their baby are at high risk. [clinicaltrials.gov]

Skin

  • Eczema

    Examples include the association of asthma exacerbation with enterovirus D68 and the association of acute eczema flare-up with coxsackievirus A16. [pedsinreview.aappublications.org]

Workup

The association of fetal birth defects with enteroviral infection is puzzling and suggests that more attention should be given to virologie studies in the diagnostic workup of fetal malformations otherwise considered as idiopathic. © 1994 S. [karger.com]

Treatment

For most people, RSV goes away on its own and home treatment is all that is needed. Babies younger than six months, especially those born early (prematurely), sometimes need treatment in a hospital. [bccdc.ca]

Make informed clinical choices for each patient, from diagnosis and treatment selection through post-treatment strategies and management of complications, with new evidence-based criteria throughout. [books.google.com]

Management and treatment There is no specific curative treatment for EV maternal or congenital infection. Prognosis Prognosis of mild congenital EV infections is quite good if reanimation procedures are available. [orpha.net]

The study enrolled 61 subjects (43 treatment, 18 placebo). Subjects in the treatment group received oral pleconaril of 5 mg/kg per dose 8 hourly for 7 days. Mortality rates in the treatment and placebo groups were 23 and 44%, respectively. [bmcpediatr.biomedcentral.com]

Treatment of the infant should not be delayed, as early treatment may prevent neurologic sequelae [24]. [intechopen.com]

Prognosis

Prognosis Prognosis of mild congenital EV infections is quite good if reanimation procedures are available. Prognosis of severe congenital EV infections is poor and the disease has been reported to be fatal. [orpha.net]

The prognosis is depending on recovery of cardiac function and other organ functions. In extreme cases, ECMO therapy has to be considered. The duration of the cardiac therapy (beta- blockers, diuretics, ACE inhibitors, etc.) is unclear. [adc.bmj.com]

[…] children demographics more common in children than adults risk factors exposure to others with the virus daycare centers poor hygiene finger sucking Pathogenesis once infected, the virus will travel to the lymph nodes and incubate, causing a prodrome Prognosis [medbullets.com]

[…] has a different prognosis. [en.wikipedia.org]

Long-term prognosis for babies with neonatal liver disease. Arch Dis Child 1985 ; 60 :447–51. [cambridge.org]

Etiology

A suggestion is proposed that the severe course of suppurative-inflammatory conditions and the general character of neonatal bacterial infection are largely determined by the immunodeficient states which are etiologically related to congenital enterovirus [pubmed.ncbi.nlm.nih.gov]

Etiology Coxsackie A, B, ECHO viruses, and numbered EVs are believed to cross the placenta and cause fetal disease. [orpha.net]

A high index of suspicion for congenital infection and awareness of the prominent features of the most common etiologies will help to facilitate early diagnosis and management. [accesspediatrics.mhmedical.com]

Epidemiology

His PhD evaluated the impact of molecular virology on the clinical epidemiology and management of central nervous system viral infections in infants. [paediatrics.ox.ac.uk]

Neonatal hepatic syndrome 187 Severe hepatocellular dysfunction 189 Hypoglycemia 192 Nonimmune fetal hydrops 193 Initial management 194 Summary comments 196 Biblipgraphy 197 Newborn screening 198 Screening for medical intervention 199 Screening to answer epidemiological [books.google.com]

Objectives After completing this article, readers should be able to: Understand the epidemiology of enterovirus infections. Recognize the wide spectrum of clinical presentations with enterovirus infection. [pedsinreview.aappublications.org]

Similar articles Epidemiologic, clinical, and laboratory features of Coxsackie B1-B5 infections in the United States, 1970-79. Moore M, Kaplan MH, McPhee J, Bregman DJ, Klein SW. Moore M, et al. Public Health Rep. 1984 Sep-Oct;99(5):515-22. [pubmed.ncbi.nlm.nih.gov]

Summary Epidemiology The prevalence of congenital EV infection is still unknown. EV infections are underdiagnosed in the mother (mainly because of frequent subclinical infections) and hence may be far more frequent than supposed. [orpha.net]

Pathophysiology

Pathophysiology [ edit ] Virulence versus symbiosis [ edit ] In the spectrum of optimal virulence, vertical transmission tends to evolve benign symbiosis. It is, therefore, a critical concept for evolutionary medicine. [en.wikipedia.org]

Asian flu pandemic reported a mortality rate of approximately 50% among infected pregnant women. [21] During the 2009 H1N1 pandemic, pregnant women accounted for 5% of all deaths and were more likely to be hospitalized than the general population. [22] Pathophysiology [emedicine.medscape.com]

Prevention

“The measures we’ve been using to prevent COVID-19 work for other respiratory illnesses too. [bccdc.ca]

Special attention is given to the prevention and treatment of these diseases found in developing countries as well as the latest findings about new antimicrobial agents, gram-negative infections and their management, and recommendations for immunization [books.google.com]

The National Institute of Infectious Diseases has produced guidelines on i) rubella prevention in the workplace, ii) rubella prevention in medical settings, iii) local government’s response to rubella outbreaks, iv) establishment of committees and other [niid.go.jp]

Treatment of Syphilis in Pregnancy and Prevention of Congenital Syphilis. [amboss.com]

It can be prevented with intrapartum penicillin in high-risk cases. [patient.info]

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