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01-12-2020 | Coxsackievirus | Case report

Enterovirus D68 in a 6-year-old acute flaccid myelitis case in China, 2018: a case report

Authors: Xiaoli Wang, Pengfei Zhang, Jie Li, Yanhui Chu, Zheng Li, Yang Yang, Fu Li, Shujuan Cui, Da Huo, Yu Wang, Quanyi Wang

Published in: BMC Infectious Diseases | Issue 1/2020

Abstract

Background

Acute flaccid myelitis (AFM) are reported to be associated with enterovirus D68 infection. Though an increasing number of AFM cases were reported with EV-D68 infection in the US, few such cases have been found in China.

Case presentation

A 6-year-old boy presented with acute flaccid myelitis (AFM) involving left arm after fever and respiratory symptoms for 6 days. Computed Tomography (CT) revealed inflammation in both lungs and magnetic resonance imaging (MRI) of the brain and spine showed swelling in the left frontal lobe and brain stem. The patient was diagnosed with meningomyelitis. EV-D68 was detected from pharyngeal samples 36 days after the onset of the disease.

Conclusion

We report the first EV-D68 infection in case of AFM in mainland China. AFM surveillance systems is recommended to be established in China to guide diagnosis, case reporting, and specimen collection and testing for better understanding its etiologies.

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Title: Enterovirus D68 in a 6-year-old acute flaccid myelitis case in China, 2018: a case report
Authors: Xiaoli Wang
Pengfei Zhang
Jie Li
Yanhui Chu
Zheng Li
Yang Yang
Fu Li
Shujuan Cui
Da Huo
Yu Wang
Quanyi Wang
Publication date: 01-12-2020
Publisher: BioMed Central
Keywords: Coxsackievirus
Magnetic Resonance Imaging
Magnetic Resonance Imaging
Published in: BMC Infectious Diseases / Issue 1/2020
Electronic ISSN: 1471-2334
DOI: https://doi.org/10.1186/s12879-020-4829-y

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