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Published on: February 23, 2014
Enterovirus D68-Associated Community-Acquired Pneumonia in the Pediatric Age Group
Samantha Bosis1, Susanna Esposito2,3
1Pediatric Highly Intensive Care Unit, Department of Pathophysiology and Transplantation, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Università degli Studi di Milano, Milan, Italy.
Insights
Enterovirus D68 (EV-D68) is an emergent pathogen causing severe pneumonia in children. Increased global surveillance and rapid diagnostics are crucial for managing EV-D68 outbreaks.
Area of Science:
- Pediatric infectious diseases
- Virology
- Respiratory medicine
Background:
- Enterovirus D68 (EV-D68) is a viral pathogen first identified in 1962.
- Historically, EV-D68 was rarely detected in respiratory samples.
- Recent outbreaks have highlighted EV-D68 as a significant cause of pediatric respiratory illness.
Purpose of the Study:
- To review current knowledge on Enterovirus D68 (EV-D68) in pediatric community-acquired pneumonia (CAP).
- To summarize the role of EV-D68 in severe respiratory illnesses in children.
Main Methods:
- Literature review of existing studies and reports on EV-D68.
- Analysis of epidemiological data and clinical presentations associated with EV-D68 infections.
Main Results:
- EV-D68 has emerged as a cause of severe, life-threatening respiratory diseases, including pneumonia, in children.
- Outbreaks in 2014 and subsequent reports indicate a global rise in EV-D68-associated illnesses.
- Children with underlying conditions like prematurity or chronic diseases are particularly vulnerable.
Conclusions:
- There are no specific treatments or vaccines for EV-D68 infections.
- Enhanced global surveillance is essential for early detection and response.
- Development and implementation of sensitive, rapid diagnostic methods are critical for managing EV-D68 outbreaks.
Purpose Of Review:
This review summarizes the current knowledge regarding the role of Enterovirus D68 (EV-D68) in community-acquired pneumonia (CAP) in children.
Recent Findings:
EV-D68 is an emergent viral pathogen. Since its first isolation in 1962 in California in four children suffering from CAP and bronchiolitis, EV-D68 has been rarely detected from respiratory specimens. However, recently, EV-D68 infection has raised concerns in the international community because of outbreaks in 2014 in the USA and the increased number of children with EV-D68-associated severe respiratory illnesses, including pneumonia, that have been reported in many other countries around the world. EV-D68 causes severe and life-threatening respiratory diseases in the pediatric population, particularly in children with underlying conditions such as prematurity or chronic diseases. Since no specific treatment or vaccinations are available for EV-D68 infections, greater surveillance as well as the use of sensitive and rapid diagnostic methods are essential to prevent and manage new outbreaks.
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