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Human Parechovirus Infection in an Infant Presenting with Hyperferritinemia
Kayla Rose McConnaha1, Zachary Kenneth Bracken1, Rebecca Rose Mastey1
1Medical College of Wisconsin-Green Bay, Green Bay, Wisconsin.
Insights
Human parechovirus (HPeV) infections in infants can cause severe illness, including hyperinflammation. Intravenous immunoglobulin (IVIG) may be a potential treatment for HPeV-induced hyperferritinemia and cytokine storm syndrome.
Area of Science:
- Pediatric Infectious Diseases
- Virology
- Immunology
Background:
- Human parechovirus (HPeV) is a known pathogen causing severe infections in infants.
- HPeV infections can manifest with serious complications like encephalitis, hepatitis, sepsis, and organ dysfunction.
Introduction:
Human parechovirus (HPeV) is recognized as a cause of severe infections in infants.
Case Presentation:
A 4-week-old febrile female with HPeV infection presented with persistent fevers and hyperferritinemia with normal C-reactive protein, suggestive of cytokine storm syndrome.
Discussion:
HPeV is known to cause encephalitis, hepatitis, sepsis, and organ dysfunction. However, few have documented hyperferritinemia and the role of cytokines in disease progression and the role of intravenous immunoglobulins (IVIG) used in the treatment of HPeV-induced hyperinflammation/cytokine storm.
Conclusions:
HPeV infections in infants can present with hyperinflammation and sepsis-like syndrome. IVIG may have a role in the treatment of severe parechoviral infections in children who present with hyperferritinemia.
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