Enterovirus D68: Difference between revisions
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==Background== | ==Background== | ||
*A viruses in the [[Enterovirus]] family | *A viruses in the [[Enterovirus]] family | ||
*Infection in the U.S. rarely identified | *Infection in the U.S. rarely identified | ||
*Outbreak in Missouri and Illinois in 8/2014 | *Outbreak in Missouri and Illinois in 8/2014 | ||
==Clinical Features== | ==Clinical Features== | ||
Mild to severe respiratory distress, otherwise not well defined, spread via respiratory secretions and body fluids | *Mild to severe respiratory distress, otherwise not well defined, spread via respiratory secretions and body fluids | ||
*30 confirmed cases in Kansas City and Chicago via PCR of nasopharyngeal secretions with the following features: age range 6 weeks to 16 years, febrile- 23%, prior asthma/wheezing- 70%, 20% required NIV, 7% required intubation<ref>Midgley CM, Jackson MA, Selvarangan R, et al. Severe Respiratory Illness Associated with Enterovirus D68 — Missouri and Illinois, 2014. MMWR. 2014; 63(36):798-799</ref> | |||
*All patients in Kansas City showed hypoxemia and difficulty breathing | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
*Asthma | *[[Asthma]] | ||
*Foreign Body | *Foreign Body | ||
*Pneumothorax | *[[Pneumothorax]] | ||
*Pneumonia | *[[Pneumonia]] | ||
== | ==Evaluation== | ||
*CXR | *[[CXR]] | ||
*Labs | *Labs | ||
*Cultures | *Cultures | ||
*Serum Studies(check with micro lab regarding available studies)- Enteroviral infections reportable to (NESS) National Enteroviral Surveillance System | *Serum Studies(check with micro lab regarding available studies)- Enteroviral infections reportable to (NESS) National Enteroviral Surveillance System | ||
==Management== | ==Management== | ||
*Supportive care | *Supportive care | ||
*Close observation for respiratory failure and possible need for NIV or ETI | *Close observation for respiratory failure and possible need for NIV or ETI | ||
*No antiviral medications available | *No antiviral medications available | ||
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==External Links== | ==External Links== | ||
[http://www.cdc.gov/non-polio-enterovirus/about/EV-D68.html | [http://www.cdc.gov/non-polio-enterovirus/about/EV-D68.html CDC - Enterovirus D68] | ||
== | |||
==References== | |||
<references/> | |||
[[Category:ID]][[Category:Featured]] | [[Category:ID]][[Category:Featured]] | ||
Latest revision as of 10:45, 9 September 2016
Background
- A viruses in the Enterovirus family
- Infection in the U.S. rarely identified
- Outbreak in Missouri and Illinois in 8/2014
Clinical Features
- Mild to severe respiratory distress, otherwise not well defined, spread via respiratory secretions and body fluids
- 30 confirmed cases in Kansas City and Chicago via PCR of nasopharyngeal secretions with the following features: age range 6 weeks to 16 years, febrile- 23%, prior asthma/wheezing- 70%, 20% required NIV, 7% required intubation[1]
- All patients in Kansas City showed hypoxemia and difficulty breathing
Differential Diagnosis
- Asthma
- Foreign Body
- Pneumothorax
- Pneumonia
Evaluation
- CXR
- Labs
- Cultures
- Serum Studies(check with micro lab regarding available studies)- Enteroviral infections reportable to (NESS) National Enteroviral Surveillance System
Management
- Supportive care
- Close observation for respiratory failure and possible need for NIV or ETI
- No antiviral medications available
Prevention
- Wash hands often with soap and water for 20 seconds, especially after changing diapers
- Avoid touching eyes, nose and mouth with unwashed hands
- Avoid kissing, hugging, and sharing cups or eating utensils with people who are sick
- Disinfect frequently touched surfaces, such as toys and doorknobs, especially if someone is sick
Disposition
- Admit to ICU for respiratory support and observation
See Also
External Links
References
- ↑ Midgley CM, Jackson MA, Selvarangan R, et al. Severe Respiratory Illness Associated with Enterovirus D68 — Missouri and Illinois, 2014. MMWR. 2014; 63(36):798-799