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Updated: Jun 22, 2026

A Neonatal Imaging Model of Gram-Negative Bacterial Sepsis
Published on: August 12, 2020
Human parechovirus-3 infection: emerging pathogen in neonatal sepsis
Rebecca E Levorson1, Barbara A Jantausch, Bernhard L Wiedermann
1Division of Infectious Diseases, Children's National Medical Center, Washington, DC, USA. rlevorso@cnmc.org
Abstract:
Human parechovirus-3 (HPeV-3) is an emerging pathogen that has been described as a cause of neonatal sepsis. Human parechoviruses are a family of viruses closely related to enteroviruses; however, enteroviral PCR will not detect HPeVs. We present clinical details of neonatal meningoencephalitis and hepatitis-coagulopathy syndrome caused by HPeV-3 infection.
Insights
Human parechovirus-3 (HPeV-3) causes severe neonatal illness, including sepsis and meningoencephalitis. Standard enterovirus PCR tests miss this emerging pathogen, highlighting the need for specific diagnostics.
Area of Science:
- Virology
- Neonatal Medicine
- Infectious Diseases
Background:
- Human parechovirus-3 (HPeV-3) is an emerging viral pathogen.
- HPeV-3 is related to enteroviruses but not detected by standard enteroviral PCR.
- Neonatal sepsis is a significant concern in pediatrics.
Observation:
- This study details clinical cases of HPeV-3 infection in neonates.
- Observed conditions include meningoencephalitis and hepatitis-coagulopathy syndrome.
- HPeV-3 presents a diagnostic challenge due to its distinction from enteroviruses.
Findings:
- HPeV-3 is a causative agent of severe neonatal meningoencephalitis.
- HPeV-3 infection can lead to a hepatitis-coagulopathy syndrome in newborns.
- The distinctness of HPeV-3 necessitates specific diagnostic assays.
Implications:
- Clinical awareness of HPeV-3 is crucial for prompt diagnosis and management of neonatal infections.
- Development of specific HPeV-3 diagnostic tools is warranted.
- Understanding HPeV-3 pathogenesis can inform treatment strategies for neonatal sepsis and related syndromes.
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