I have been following the outbreak of Enterovirus 68 closely. An awful trait of pathogens is that the more rapidly they spread, the nastier their health effects can become.
It appears Enterovirus 68 may be following this pattern. The Centers for Disease Control and Prevention is checking into reports that limb weakness and paralysis in nine children may be related to the far-reaching outbreak of the respiratory disease.
The CDC released a statement today saying nine children in Denver had reported a neurologic illness that led to some limb weakness or paralyzation. All of the children had reported having a kind of respiratory virus before showing symptoms of limb weakness.
Six of the eight children tested were found to be positive for a rhinovirus or enterovirus and four of those cases were found to be the Enterovirus 68. The other two cases were still pending.
Dr. Larry Wolk, the chief medical officer and executive director for Colorado Department of Public Health and Environment, said that the children affected range in age from 1 to 18, with an average age of 10.
“It is a spectrum of arm or leg weakness that can be as mild weakness or as severe as paralysis,” Wolk said. “What ties them all together though are findings of spots or lesions in the grey matter of the spinal cord on MRI scans.”
Medical officials have not determined whether the Enterovirus 68 virus caused the neurological symptoms, but the CDC is asking other medical workers to report any similar cases as the outbreak of the enterovirus 68 continues to spread throughout the U.S.
This news caught my attention. Earlier this year, as many as 25 California children we reported to be suffering from a mysterious, polio-like virus capable of paralyzing limbs.
The first known case appeared in 2012. Sofia Jarvis in Berkeley began to experience wheezing and difficulty breathing. The 2-year-old spent days in the intensive care unit at Children’s Hospital Oakland. Doctors thought she had asthma.
On a follow-up visit, her mother Jessica Tomei, 37, realized something else was wrong.
“As we were leaving the doctor’s office, I noticed that she went to grab something with her left arm and she stopped, midway,” Tomei said.
Eventually Sofia was brought to Van Haren’s clinic with “a unique set of symptoms.” She was treated with steroids and intravenous immunoglobulin therapy, used to reduce the severity of infections by giving the body antibodies to protect against bacteria and viruses. “None of it helped,” said Van Haren, a neurology professor at the Stanford University School of Medicine.
“He told us right away that the prognosis was really poor and that she’s not going to get better,” Tomei said.
The diagnosis proved correct. Today, at age 4, Sofia’s left arm is paralyzed and she has some weakness in her left leg as well as slight breathing issues.
A USA Today video summarizes the information available on the California outbreak.
There is not enough information to determine if the California infection is related to what is being observed after Enterovirus infections. However, the similarity is disturbing.
A New Jersey pre-schooler is dead after suffering an unidentified illness, and the Centers for Disease Control and Prevention will test to see if the now-infamous enterovirus D68might have been the cause.
As CBS 2’s Christine Sloan reported, parents at the Yardville Elementary School in Hamilton, New Jersey, were shaken and saddened Friday. Health officials said a 4-year-old who attended the school for pre-school died early Thursday at home.
…The 4-year-old boy was identified in a call to parents from the school as Eli Waller.
When I was young, the worst infection I had was chicken pox. Truly, those seem like the good old days.
Now, today’s parents seem to be facing a new version of an old plague that threatens their children.
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