Severe parechovirus infection in Norwegian infants

Pediatr Infect Dis J. 2014 Dec;33(12):1222-5. doi: 10.1097/INF.0000000000000456.

Abstract

Background: Human parechovirus genotype 3 (HPeV-3) has been linked to meningoencephalitis and sepsis-like disease in infants younger than 3 months.

Methods: We present clinical and phylogenetic characteristics of 15 infants who were admitted with HPeV-3 infections to 3 hospitals in Norway during a period of 7 months in 2011.

Results: Eleven patients had a sepsis-like disease, and meningoencephalitis was found in 10. Phylogenetic analyses of the viral protein (VP)3/VP1 region showed that all HPeV-3 isolates clustered closely and differentially from previously known HPeV-3 lineages. Fourteen of the 15 infants recovered after 1-3 weeks. One boy had widespread cerebral magnetic resonance imaging abnormalities, but at 1 year of age he had a normal psychomotor status.

Conclusion: A new HPeV-3-strain caused sepsis-like disease and meningoencephalitis in 15 Norwegian infants. All but 1 recovered within a few weeks.

MeSH terms

  • Cluster Analysis
  • Female
  • Genotype
  • Hospitals
  • Humans
  • Infant
  • Infant, Newborn
  • Male
  • Meningoencephalitis / epidemiology
  • Meningoencephalitis / pathology
  • Meningoencephalitis / virology
  • Norway / epidemiology
  • Parechovirus / classification
  • Parechovirus / genetics
  • Parechovirus / isolation & purification*
  • Phylogeny
  • Picornaviridae Infections / epidemiology*
  • Picornaviridae Infections / pathology*
  • RNA, Viral / genetics
  • Sepsis / epidemiology
  • Sepsis / pathology
  • Sepsis / virology
  • Treatment Outcome

Substances

  • RNA, Viral