AI Article Synopsis
- Enterovirus (EV) and parechovirus (HPeV) are prevalent in newborns and are primary causes of aseptic meningitis in infants under 1 year.
- A study compared 10 infants with HPeV meningitis to 8 with EV meningitis, revealing significantly higher serum C-reactive protein (CRP), white blood cell (WBC), and lymphocyte levels in the EV group.
- Despite these differences, clinical symptoms alone cannot differentiate between the two infections, and real-time polymerase chain reaction remains the most reliable diagnostic method.
Article Abstract
Enterovirus (EV) and parechovirus (HPeV) are common viruses in the neonatal period, with similar seasonality and symptomatology. They also are the main causes of aseptic meningitis in newborns and children under 1 year of age. We compared the clinical signs, laboratory data, brain, and neurodevelopmental outcome of 10 infants with HPeV and 8 with EV meningitis. In patients with EV meningitis, serum C-reactive protein (CRP) values were significantly higher than those of patients with HPeV infection. Procalcitonin values were low in both groups. White blood cell (WBC) and lymphocyte values were significantly higher in EV patients. None of the infants had a brain lesion on cerebral ultrasound neither negative neurological outcome. Based solely on symptoms, it is not possible to distinguish HPeV from EV infection. C-reactive protein, WBC, and lymphocyte values might allow the physician to assume EV infection. The gold standard test for diagnosis remains real-time polymerase chain reaction on cerebral spinal fluid.
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| http://dx.doi.org/10.1177/00099228241235448 | DOI Listing |
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