Enterovirus
Baltimore IV (+ssRNA): picornavirus (small rna)
Perinatal infection > neonatal infection
Epidemiology: spring/summer
Adult symptoms:
fever
sore throat
flu-like symptoms
Vomiting
Diarrhoea
Meningoencephalitis
Transmission:
in-utero (rare)
intrapartum (blood, vaginal secretions, stool)
postnatal (oral secretions)
Neonatal symptoms:
Fever
irritability
poor feeding
lethargy
Maculopapular rash (50%)
Respiratory symptoms (50%)
Gastrointestinal symptoms (20%)
Hepatitis (50%)
Myocarditis
Meningoencephalitis
Ix
RT-PCR on blood, CSF, tissue (stool non-specific as shed for weeks post i.e. might not be current infection)
Rx
IVIG: emerging evidence for severe cases, may be of use as prophylaxis in exposed neonates
Perinatal infection > neonatal infection
Epidemiology: spring/summer
Adult symptoms:
fever
sore throat
flu-like symptoms
Vomiting
Diarrhoea
Meningoencephalitis
Transmission:
in-utero (rare)
intrapartum (blood, vaginal secretions, stool)
postnatal (oral secretions)
Neonatal symptoms:
Fever
irritability
poor feeding
lethargy
Maculopapular rash (50%)
Respiratory symptoms (50%)
Gastrointestinal symptoms (20%)
Hepatitis (50%)
Myocarditis
Meningoencephalitis
Ix
RT-PCR on blood, CSF, tissue (stool non-specific as shed for weeks post i.e. might not be current infection)
Rx
IVIG: emerging evidence for severe cases, may be of use as prophylaxis in exposed neonates