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Published on: July 24, 2016
Enteroviral Infections in Infants
Srijan Singh1, Sushant Satish Mane1, Gangajal Kasniya2
1Department of Pediatrics, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, Maharashtra, India.
Insights
Enteroviruses (EVs) are significant infant pathogens. This review covers their properties, clinical impacts, and diagnostic, treatment, and prognostic methods, focusing on coxsackie and echoviruses.
Area of Science:
- Virology
- Pediatrics
- Infectious Diseases
Background:
- Enteroviruses (EVs) are primary pathogens in infants.
- Traditional classification includes polio, coxsackie A and B, and echoviruses.
- Coxsackie and echoviruses are gaining attention due to structural similarities and translational medicine potential.
Purpose of the Study:
- To review enterovirus properties.
- To detail clinical manifestations and transmission routes.
- To outline current diagnostic, treatment, and prognostic approaches.
Main Methods:
- Literature review of enterovirus research.
- Analysis of clinical presentations and epidemiological data.
- Summary of laboratory diagnostic techniques (RT-PCR, cell culture, serology).
Main Results:
- EVs manifest as viral prodromes, meningitis, encephalitis, myopericarditis, and multi-organ failure.
- Transmission occurs via oral and fecal-oral routes.
- Diagnosis relies on molecular and serological methods.
Conclusions:
- Understanding EV properties is crucial for managing infant infections.
- Current diagnostics and therapeutics offer avenues for prevention and treatment.
- Further research into coxsackie and echoviruses holds translational medicine promise.
Abstract:
Enteroviruses (EVs) are major pathogens in young infants. These viruses were traditionally classified into the following four subgenera: polio, coxsackie A and B, and echoviruses. Now that poliomyelitis seems to be controlled in most parts of the world, coxsackie and echoviruses are gaining more attention because (i) the structural and pathophysiological similarities and (ii) the consequent possibilities in translational medicine. Enteroviruses are transmitted mainly by oral and fecal-oral routes; the clinical manifestations include a viral prodrome including fever, feeding intolerance, and lethargy, which may be followed by exanthema; aseptic meningitis and encephalitis; pleurodynia; myopericarditis; and multi-system organ failure. Laboratory diagnosis is largely based on reverse transcriptase-polymerase chain reaction, cell culture, and serology. Prevention and treatment can be achieved using vaccination, and administration of immunoglobulins and antiviral drugs. In this article, we have reviewed the properties of these viruses, their clinical manifestations, and currently available methods of detection, treatment, and prognosis.
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