Information de reference pour ce titreAccession Number: | 01451458-200101150-00009.
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Author: | McMinn, Peter ,1; Stratov, Ivan 1; Nagarajan, Lakshmi 2; Davis, Stephen 3
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Institution: | (1) Department of Microbiology, Princess Margaret Hospital for Children, Perth (2) Department of Neurology, Princess Margaret Hospital for Children, Perth (3) Magnetic Resonance Imaging Unit, Sir Charles Gairdner Hospital, Queen Elizabeth II Medical Centre, Nedlands, Australia
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Title: | |
Source: | Clinical Infectious Diseases. 32(2):236-242, January 15, 2001.
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Abstract: | Enterovirus 71 (EV71) causes epidemics of hand, foot, and mouth disease associated with neurological complications in young children. We report an outbreak of EV71-associated neurological disease that occurred from February through September 1999 in Perth, Western Australia. Fourteen children with culture-proven, EV71-induced neurological disease were identified. Nine patients (64%) developed severe neurological disease; 4 of these patients developed long-term neurological sequelae. Neurological syndromes included aseptic meningitis, Guillain-Barre syndrome, acute transverse myelitis, acute cerebellar ataxia, opso-myoclonus syndrome, benign intracranial hypertension, and a febrile convulsion. Clinical and magnetic resonance imaging data indicated that immunopathology was a major factor in the pathogenesis of neurological disease in this outbreak. This finding is in contrast to reports of previous EV71 epidemics, in which virus-induced damage to gray matter was the most frequent cause of neurological disease.
(C) Copyright Oxford University Press 2001.
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Language: | English.
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Document Type: | Major Articles.
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Journal Subset: | Clinical Medicine. Life & Biomedical Sciences.
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ISSN: | 1058-4838
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DOI Number: | https://dx.doi.org/10.1086/31845...- ouverture dans une nouvelle fenêtre
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