Use, alert for viruses with polio-like symptoms in children – Medicine

In the US, attention is growing for Enterovirus D68 (EV-D68) infections in children, a virus that can cause severe respiratory symptoms and flaccid myelitis, a neurological complication that can degenerate into paralysis. As of September 21, there are 260 children tested positive and 15 cases of flaccid paralysis, according to an update published in the weekly bulletin of the Centers for Disease Control and Prevention (Cdc).

Enterovirus D68 outbreaks are nothing new: since 2014, every two years, in the US there has been a growth in infections between summer and autumn. The exception was 2020, when there were very few cases, “potentially due to the implementation of Covid-19 mitigation measures, such as masks, more careful hand hygiene and spacing,” the researchers write. Since last August, doctors in several areas of the United States have reported an “increase in hospitalizations in pediatric patients with severe respiratory symptoms and positive rhinovirus / enterovirus test results,” they add.

The first impressions are now confirmed by the data: the rates of children positive for Enterovirus D68 are similar to those of 2018. The average age of the patients is about two and a half years and the most common symptoms are breathing difficulties, cough and nasal congestion. .

For this reason, CDC experts urge physicians to “consider EV-D68 as a possible cause of severe respiratory disease in children and adolescents” and health care facilities to “be prepared for possible increases in the use of healthcare. pediatric health care associated with severe respiratory diseases due to EV-D68 “. (HANDLE).