Enterovirus and Parechovirus Coinfection in a Sudden Unexpected Infant Death

Pediatrics. 2020 Sep;146(3):e20193686. doi: 10.1542/peds.2019-3686.

Abstract

Viruses are suspected to play a role in the multifactorial pathogenesis of sudden infant death. We described a sudden and unexpected death in a 5-month-old boy, with detection of both enterovirus and parechovirus RNA in the blood. This is the first report of a dual viraemia of enterovirus and parechovirus and its potential association with a sudden unexpected infant death. Extensive sampling and testing especially using molecular methods currently available is needed to better understanding the "hypothetical" link between viral infections and sudden infant death.

Publication types

  • Case Reports

MeSH terms

  • Enterovirus / isolation & purification*
  • Enterovirus Infections / complications*
  • Enterovirus Infections / diagnostic imaging
  • Humans
  • Infant
  • Male
  • Parechovirus / isolation & purification*
  • Picornaviridae Infections / complications*
  • Picornaviridae Infections / diagnostic imaging
  • Sudden Infant Death / etiology*