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Disseminated neonatal echovirus 11 disease following antenatal maternal infection with a virus-positive cervix and virus-negative gastrointestinal tract

✍ Scribed by Milagros P. Reyes; Enrique M. Ostrea Jr; Jacqueline Roskamp; A. Martin Lerner


Book ID
102380776
Publisher
John Wiley and Sons
Year
1983
Tongue
English
Weight
318 KB
Volume
12
Category
Article
ISSN
0146-6615

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✦ Synopsis


Abstract

An infant girl was born apparently well one week after her mother had had a mild illness with chills, fever, and diarrhea. On the third day of life, the infant became ill and died four days later with necrotizing hepatitis. On the same day, echovirus type 11 was recovered from the throat, rectum, and buffy coat of the infant and from the cervix of the mother. At this time, the mother had an IgM neutralizing antibody titer to echovirus type 11 of 1:128, but no IgG antibodies. The infant had no echovirus type 11 antibodies. The virus was also isolated from the baby's liver and adrenal at autopsy. These findings raise the possibility of enterovirus infection at delivery from a contaminated cervix.