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Severe enterovirus infections in infants <3 months of age and the importance of medical history Cover

Severe enterovirus infections in infants <3 months of age and the importance of medical history

Open Access
|Jan 2021

Figures & Tables

Table 1

No.Month of admissionAgeFamily historySymptoms on admissionCRP [mg/L]PCT [ng/mL]Leucocytes [/uL]Neutrophils [%]Lymphocytes [%]CSF cytosis [cells/Mononuclear cells in CSF [%]Multinuclear cells in CSFGlucose in CSF [mmol/L]Protein in CSF [g/L]Lactic acid in CSF [mmol/L]Where infection has been confirmedTroponinT [ng/L]AntibioticsHSV in CSFNeuroimaging
1.Il0/365Child's mother has feverRespiratory failure, prematurity7.90.93831060.124.4 Examinations not performed Faeces, tissue biopsyExaminations not performedAmpicillin, amikin, meropenem, vancomycinSamples not collectedUltrasound scan - normal before the septic shock
2.X1/365Father had hand, foot and mouth disease about month 1 earlier, mother was vomiting on the day she gave birthRespiratory and circulatory insufficiency, arrhythmia, ascites<5Not performed837064.322.1 Examinations not performed Mother's stool254.7Ampicillin, amikin, aciclovirSamples not collectedMRI-features of (minor) intramuscular bleeding and minor haemorrhagic lesions of the cerebellum and the right lobe. Features of immaturity of the white brain matter. There were no signs of encephalitis, (prematurity 29 hbd)
3.II19/365His father had been feverish a few days earlier, older his brother had infection of the upper respiratory tractFever, seizures (tonic seizure, strabismus, pushing out the tongue)<50.121977032.451.5191098.91.121.221.5Stoo50.1Cephotaxim, ampicillin, aciclovirNegativeUltrasound-thalamostriate vasculopathy
4.VI6/52No dataFever, hyperesthesia, abdominal distension11.20.15917045.241.969353.346.732.021.4Stool32.4Ceftriaxone, amikacin, aciclovirNegativeUltrasound-normal
5.VII7/52Members of the household with symptoms of viral infectionFever, lack of appetite, apathy5.90.161300032.447.867327.572.530,761.4StoolExaminations not performedCephotaxim, amikacin, vancomycin, ceftriaxone, aciclovirNegativeMRI-normal
6.X6/52No dataFever, hyperesthesia, difficulty in Eating<50.16346026.343.62100030.521.4CSFExaminations not performedNo.NegativeUltrasound-normal
7.XI1/12Older siblings had upper respiratory tract infections Older sister hadFever, lack of appetite, apathy6,60.171229048.339.353098.71.321.121.1StoolExaminations not performedCeftriaxone, amikin, fluconazoleNo dataUltrasound-normal
8.XII1/12upper respiratory tract infectionFever, apathy£50.111138022.257.369894.75.321.21.7CSFExaminations not performedAmpicillin, amikacin, aciclovirNo dataUltrasound-normal
9. 7/365Father had pharyngitisFever, apathy, difficulty in Eating<50.21391030.453.949297.52.521.211.2CSFExaminations not performedAciclovirNegativeMRI-normal
10.X7/52No dataFever, apathy, difficulty in Eating10.70.181039014.971.9 Examinationsnot performed Stool329.2CefuroximeSampies not collectedUltrasound-normal
DOI: https://doi.org/10.34763/jmotherandchild.20202403.2022.d-20-00007 | Journal eISSN: 2719-535X | Journal ISSN: 2719-6488
Language: English
Page range: 37 - 44
Published on: Jan 29, 2021
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2021 Anna Olchawa-Czech, Katarzyna Ptak, Izabela Szymońska, Przemko Kwinta, published by Institute of Mother and Child
This work is licensed under the Creative Commons Attribution 4.0 License.