We received an ECHO 11 meningitis alert from the National Reference Center today. has anyone seen cases?
there is  a high incidence of affected male twins. Is that coincidence or a low number of cases? I do not understand that. Any ideas?

Since Tw embedding no longer works... I copy and paste the following from the user Laura Miers

“The WHO confirmed at least 26 infants in Croatia, France, Italy, Spain, Sweden & the UK had been infected with a rare type of enterovirus, called echovirus-11. Eight of those babies died, with most deaths in France following organ failure & sepsis.”

Read more on this WHO link: https://www.who.int/emergencies/disease-outbreak-news/item/2023-DON474

and here frmo NBC News: https://www.nbcnews.com/health/health-news/virus-infection-newborns-doctors-warn-summer-illness-rcna92382

 

Hi Katja,

@Jose Ramon Fernandez shared this in our Nicuverse:

https://www.eurosurveillance.org/content/10.2807/1560-7917.ES.2023.28.22.2300253#html_fulltext

 

https://nicuverse.org/@jramonfernandez/110627529997571394

 

@Gustaf Lernfelt missed that in the nicuverse, thanks for sharing the link! And thanks @Jose Ramon Fernandez for sharing the info!

We had a case of enteroviral sepsis this past week at our institution in the USA that seems very similar to those that the WHO advisory is about. Still waiting on viral cultures to be tested to see if it was Echovirus-11. Was a 30 week EGA infant that developed apnea on DOL 5, then DIC and liver failure. Transferred to us on DOL 8, and despite our efforts, died on DOL 11. However, was a singleton female. 

We detected an Echovirus Typ×?  Meningitis of an 39 week old female newborn  on 4th day of life. Symptoms: apnea and mild liver failure.  Mother hast had headache and mild neckstiff es at Time of birth. After 10 days everything wenn out fine. Treatment: Nippv, Fluid, Vit K.

 

 

 

 

We had congenital Echo11 Sepsis/Encephalitis (symptomatic from 4th day of life) in a term male infant (mother had vomiting/diarrhea approximately 7 days before delivery). We had a nosocomial transmission. To a preterm infant with sepsis like illness and diarrhea. Both infants recovered.