Enterovirus D68-Associated Acute Flaccid Myelitis in Immunocompromised Woman, Italy

Emerg Infect Dis. 2017 Oct;23(10):1690-1693. doi: 10.3201/eid2310.170792.

Abstract

In Italy in 2016, acute flaccid myelitis developed in a woman who had received a hematopoietic stem cell transplant. Enterovirus D68 viral genome was detected in respiratory and cerebrospinal fluid samples, and the viral protein 1 sequence clustered with lineage B3. Immunocompromised adults may be at risk for enterovirus D68-associated neurologic complications.

Keywords: Enterovirus D68; Italy; VP1 sequencing; acute flaccid myelitis; central nervous system infection; human; immunocompromised patient; molecular epidemiology; viruses.

Publication types

  • Case Reports

MeSH terms

  • Acute Disease
  • Enterovirus D, Human / classification
  • Enterovirus D, Human / genetics
  • Enterovirus D, Human / isolation & purification
  • Enterovirus D, Human / pathogenicity*
  • Enterovirus Infections / etiology
  • Enterovirus Infections / immunology*
  • Enterovirus Infections / pathology
  • Enterovirus Infections / virology
  • Fatal Outcome
  • Female
  • Genotype
  • Hematopoietic Stem Cell Transplantation / adverse effects*
  • Humans
  • Immunocompromised Host*
  • Immunosuppressive Agents / therapeutic use*
  • Italy
  • Lymphoma, Large B-Cell, Diffuse / immunology
  • Lymphoma, Large B-Cell, Diffuse / pathology
  • Lymphoma, Large B-Cell, Diffuse / therapy
  • Lymphoma, Non-Hodgkin / immunology
  • Lymphoma, Non-Hodgkin / pathology
  • Lymphoma, Non-Hodgkin / therapy
  • Middle Aged
  • Myelitis
  • Phylogeny
  • Transplantation, Homologous

Substances

  • Immunosuppressive Agents