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Enterovirus 71, one virus and many stories
Shih-Min Wang1, Tzong-Shiann Ho, Ching-Fen Shen
1Department of Emergency Medicine, National Cheng Kung University Medical College and Hospital, Tainan, Taiwan.
Abstract:
Enterovirus 71 (EV71) has emerged as a significant cause of brainstem encephalitis and acute flaccid paralysis in Taiwan. It may be complicated by autonomic nervous system dysregulation and pulmonary edema (PE). Cytokines in the central nervous system and systemic inflammatory responses play important roles in the pathogenesis of EV71-associated PE. Pathogenesis-based management with intravenous immunoglobulin and milrinone has been associated with reduced mortality in children with severe EV71 infections.
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