Clinical features of echovirus 6 and 9 infections in children

Hao-Yuan Lee1, Chih-Jung Chen, Yhu-Chering Huang

  • 1Department of Pediatrics, Chang Gung Memorial Hospital, Taoyuan, Taiwan.

Insights

Clinical features of echovirus 6 and 9 infections in children were evaluated. Aseptic meningitis was most common, but rare severe outcomes like death or seizures can occur in hospitalized children.

Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Virology

Background:

  • Clinical manifestations of echovirus 6 and 9 infections in children, especially sporadic cases, require further evaluation.
  • Understanding these features is crucial for timely diagnosis and management.

Purpose of the Study:

  • To comprehensively describe the clinical spectrum of echovirus 6 and 9 infections in pediatric patients.
  • To identify differences in clinical presentation and outcomes between echovirus 6 and 9 infections.

Main Methods:

  • A retrospective analysis of 199 children with culture-proven echovirus 6 or 9 infections from 2000-2008.
  • Detailed data extraction and analysis focused on 174 hospitalized children.

Main Results:

  • Aseptic meningitis was the most frequent diagnosis for both echovirus 6 (49%) and 9 (51%) infections.
  • Echovirus 9 infections were associated with longer fever duration (6.0 vs. 3.8 days) and echovirus 6 with higher leukocytosis rates.
  • While most children recovered, rare severe outcomes including death and seizure disorders were observed.

Conclusions:

  • Aseptic meningitis is the predominant clinical presentation for hospitalized children with echovirus 6 or 9 infections.
  • Although uncommon, severe complications such as mortality and long-term neurological sequelae can occur.
  • This study highlights the importance of recognizing the diverse clinical spectrum of these viral infections in children.
Abstract

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