Infant deaths associated with human parechovirus infection in Wisconsin

Gerald Sedmak1, W Allan Nix, Jeffrey Jentzen

  • 1Virology and Molecular Science Laboratory, City of Milwaukee Health Department, Madison, Wisconsin, USA.

Abstract

Insights

Human parechoviruses (HPeVs) were detected in infant deaths, including the first fatal cases of HPeV type 3 and 6 in the US. These findings highlight HPeVs as a cause of serious illness in young children.

Area of Science:

  • Pediatric Infectious Diseases
  • Virology
  • Public Health Surveillance

Background:

  • Investigated the role of viruses in deaths of children under 2 years old using autopsy specimens.
  • Examined lung tissue, nasopharyngeal, and colon swabs from 1263 autopsies conducted between 1987 and 2004.

Purpose of the Study:

  • To assess the role of viral infections in the mortality of infants and young children.
  • To identify and characterize human parechoviruses (HPeVs) in pediatric deaths.

Main Methods:

  • Virus isolation using multiple cell cultures.
  • Identification via neutralization, immunofluorescence assay, or enzyme immunoassay.
  • Real-time PCR and sequencing for HPeV detection and typing.

Main Results:

  • 426 (34%) autopsies yielded at least one virus; enteroviruses and adenoviruses were most common.
  • Human parechoviruses (HPeVs) identified in 18 cases (HPeV type 1) and 4 additional cases via RT-PCR.
  • Sequencing identified HPeV type 3 (n=3) and HPeV type 6 (n=1); two deaths were non-infectious.

Conclusions:

  • First confirmed detections of HPeV type 3 and 6 in the United States.
  • First report of fatal cases associated with HPeV type 3 infection.
  • Results support HPeVs association with severe pediatric disease; recommend clinical testing and surveillance.

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