Current status of enterovirus D68 worldwide and in Taiwan
Journal
Pediatrics and Neonatology
Journal Volume
61
Journal Issue
1
Pages
9-15
Date Issued
2020
Author(s)
Abstract
Enterovirus D68 was first identified in 1962 and caused a worldwide outbreak starting from the North America in 2014. Enterovirus D68 has been in continuous circulation among many countries recently, including Taiwan. Reports also reveal high seroprevalence, which indicates that the disease burden of enterovirus D68 may be underestimated via viral culture or polymerase chain reaction results. Although most infected cases have mild respiratory illness, severe complications including acute flaccid myelitis and acute respiratory distress syndrome have also been reported. In the position of an emerging pathogen, enterovirus D68 poses a threat to public health and may cause devastating diseases. Diverse severity of neurological sequelae remains inevitable among acute flaccid myelitis patients, but no curable treatment is available currently. According to the management suggestions of the American Centers of Disease Control, uses of corticosteroids and plasmapheresis are either preferred or avoided and intravenous immunoglobulin also has no clear indication in the treatment for acute flaccid myelitis. In this review article, we provide information about the epidemiology, clinical recognition and treatment strategy of enterovirus D68. Better understanding of this disease is the foothold for advanced investigation and monitoring in the future. ? 2019
Subjects
acute flaccid myelitis; enterovirus D68; respiratory illness
SDGs
Other Subjects
immunoglobulin; steroid; acute flaccid myelitis; clinical feature; disease severity; drug pulse therapy; Enterovirus A71; Enterovirus D68; Enterovirus infection; human; myelitis; nonhuman; plasmapheresis; public health; respiratory tract disease; Review; seroprevalence; Taiwan; central nervous system infection; complication; Enterovirus D; Enterovirus infection; epidemic; female; male; myelitis; neuromuscular disease; seroepidemiology; Central Nervous System Viral Diseases; Disease Outbreaks; Enterovirus D, Human; Enterovirus Infections; Female; Humans; Male; Myelitis; Neuromuscular Diseases; Seroepidemiologic Studies; Taiwan
Publisher
Elsevier (Singapore) Pte Ltd
Type
review