Acute flaccid myelitis associated with enterovirus D68 in a non-epidemic setting

Kazuki Hatayama, Shinichiro Goto, Masato Yashiro, Harushi Mori, Tsuguto Fujimoto, Nozomu Hanaoka, Keiko Tanaka-Taya, Tomoka Zuzan, Masaru Inoue

Research output: Contribution to journalArticle

Abstract

Acute flaccid myelitis (AFM)is a recently defined clinical disease accompanied by the national outbreak of enterovirus D68 (EV-D68)in the United States during the late summer/fall of 2014; 258 cases of EV-D68 and 59 cases of AFM were reported in Japan during the late summer/fall of 2015. Subsequently, there have been no epidemics of AFM or EV-D68. However, we encountered a patient who had AFM associated with EV-D68 in 2017. This is the first case of AFM caused by EV-D68 after the 2015 epidemic, and the only reported case in 2017. This report indicates that AFM caused by EV-D68 can arise even in non-epidemic situations. If a patient presents with paralysis, AFM caused by EV-D68 should be included in the differential diagnosis, regardless of the absence of an epidemic of EV-D68 infection.

Original languageEnglish
Article numbere00549
JournalIDCases
Volume17
DOIs
Publication statusPublished - Jan 1 2019

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Myelitis
Enterovirus
Enterovirus Infections
Paralysis
Disease Outbreaks
Japan
Differential Diagnosis

Keywords

  • Acute flaccid myelitis
  • Enterovirus D68

ASJC Scopus subject areas

  • Infectious Diseases

Cite this

Hatayama, K., Goto, S., Yashiro, M., Mori, H., Fujimoto, T., Hanaoka, N., ... Inoue, M. (2019). Acute flaccid myelitis associated with enterovirus D68 in a non-epidemic setting. IDCases, 17, [e00549]. https://doi.org/10.1016/j.idcr.2019.e00549

Acute flaccid myelitis associated with enterovirus D68 in a non-epidemic setting. / Hatayama, Kazuki; Goto, Shinichiro; Yashiro, Masato; Mori, Harushi; Fujimoto, Tsuguto; Hanaoka, Nozomu; Tanaka-Taya, Keiko; Zuzan, Tomoka; Inoue, Masaru.

In: IDCases, Vol. 17, e00549, 01.01.2019.

Research output: Contribution to journalArticle

Hatayama, K, Goto, S, Yashiro, M, Mori, H, Fujimoto, T, Hanaoka, N, Tanaka-Taya, K, Zuzan, T & Inoue, M 2019, 'Acute flaccid myelitis associated with enterovirus D68 in a non-epidemic setting', IDCases, vol. 17, e00549. https://doi.org/10.1016/j.idcr.2019.e00549
Hatayama, Kazuki ; Goto, Shinichiro ; Yashiro, Masato ; Mori, Harushi ; Fujimoto, Tsuguto ; Hanaoka, Nozomu ; Tanaka-Taya, Keiko ; Zuzan, Tomoka ; Inoue, Masaru. / Acute flaccid myelitis associated with enterovirus D68 in a non-epidemic setting. In: IDCases. 2019 ; Vol. 17.
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