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10.1002/jmv.24772

http://scihub22266oqcxt.onion/10.1002/jmv.24772
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28165146!7167024!28165146
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suck abstract from ncbi


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pmid28165146      J+Med+Virol 2017 ; 89 (7): 1201-1207
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  • Enterovirus D68 detection in respiratory specimens: Association with severe disease #MMPMID28165146
  • Engelmann I; Fatoux M; Lazrek M; Alidjinou EK; Mirand A; Henquell C; Dewilde A; Hober D
  • J Med Virol 2017[Jul]; 89 (7): 1201-1207 PMID28165146show ga
  • Molecular techniques increased the number of documented respiratory infections. In a substantial number of cases the causative agent remains undetected. Since August 2014, an increase in Enterovirus(EV)-D68 infections was reported. We aimed to investigate epidemiology and clinical relevance of EV-D68. From June to December 2014 and from September to December 2015, 803 and 847 respiratory specimens, respectively, were tested for respiratory viruses with a multiplex RT-PCR. This multiplex RT-PCR does not detect EV-D68. Therefore, 457 (2014) and 343 (2015) specimens with negative results were submitted to an EV-specific-RT-PCR. EV-positive specimens were tested with an EV-D68-specific-RT-PCR and genotyped. Eleven specimens of 2014 tested positive in the EV-specific-RT-PCR and of these seven were positive in the EV-D68-specific-RT-PCR. Typing confirmed these as EV-D68. Median age of EV-D68-positive patients was 3 years (1 month-91 years). Common symptoms included fever (n = 6, 86%), respiratory distress (n = 5, 71%), and cough (n = 4, 57%). All EV-D68-positive patients were admitted to hospital, 4 (57%) were admitted to intensive care units and 6 (86%) received oxygen. One patient suffered from acute flaccid paralysis. Seven specimens of 2015 were positive in the EV-specific-RT-PCR but negative in the EV-D68-specific-RT-PCR. In conclusion, use of an EV-specific-RT-PCR allowed us to detect EV-D68 circulation in autumn 2014 that was not detected by the multiplex RT-PCR and was associated with severe disease.
  • |Adolescent[MESH]
  • |Adult[MESH]
  • |Aged[MESH]
  • |Aged, 80 and over[MESH]
  • |Bronchoalveolar Lavage[MESH]
  • |Child[MESH]
  • |Child, Preschool[MESH]
  • |Cough[MESH]
  • |Disease Outbreaks[MESH]
  • |Enterovirus D, Human/classification/*genetics/*isolation & purification[MESH]
  • |Enterovirus Infections/epidemiology/physiopathology/*virology[MESH]
  • |Female[MESH]
  • |France/epidemiology[MESH]
  • |Genotype[MESH]
  • |Hospitalization[MESH]
  • |Humans[MESH]
  • |Infant[MESH]
  • |Lung/virology[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Multiplex Polymerase Chain Reaction[MESH]
  • |Paralysis/etiology/virology[MESH]
  • |Real-Time Polymerase Chain Reaction[MESH]
  • |Respiratory Tract Infections/epidemiology/physiopathology/*virology[MESH]
  • |Severity of Illness Index[MESH]


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