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Volume 9, Number 1—January 2003
Research

Epidemic Hand, Foot and Mouth Disease Caused by Human Enterovirus 71, Singapore

Kwai Peng Chan*Comments to Author , Kee Tai Goh†, Chia Yin Chong‡, Eng Swee Teo§, Gilbert Lau§, and Ai Ee Ling*
Author affiliations: *Singapore General Hospital, Singapore, Republic of Singapore; †National Environment Agency, Singapore, Republic of Singapore,; ‡Kandang Kerbau Women’s and Children’s Hospital, Singapore, Republic of Singapore; §Centre for Forensic Medicine, Health Sciences Authority, Singapore, Republic of Singapore

Main Article

Table 3

Virus yield by specimen typea

Specimen type No. specimens
HFMD patients
Non-HFMD patients
Culture + HEV 71 + No. tested Culture + HEV 71 + No. tested
Stool
58
39b
88
11
4
74
Rectal swab
6
5
8
1
1
3
Vesicle
31
27
62
0
0
3
Oral swab
23
15
60
2
0
6
Throat swab
19
16c
50
2
1
9
Nasal aspirate
3
3d
6
1
1
1
Saliva
1
1d
3
0
0
0
Tonsil
2
2
2
0
0
0
Intestine and contents
2
2
5
1
0
6
Brain
1
1
3
1
1
7
Cerebrospinal fluid
0
0
2
5
0
32
Ulcer
1
1
2
0
0
0
Conjunctiva
0
0
1
1
0
1
Blood
0
0
2
0
0
0
Heart
0
0
4
0
0
12
Tracheal swab
0
0
4
0
0
1
Lymph node
0
0
1
0
0
0
Spleen
0
0
2
0
0
0
Lung
0
0
4
0
0
1
Nasal swab
0
0
2
0
0
0
BAL
0
0
0
0
0
1
Total 147 112 311 25 8 157

aHFMD, hand, foot and mouth disease; HEV, human enterovirus; +, positive; EV, echovirus; CMV, Cytomegalovirus; BAL, broncho-alveolar lavage.
bDual isolation of HEV71 and EV25 from one specimen.
cDual isolation of HEV71 and Rhinovirus from one specimen.
dDual isolation of HEV71 and CMV from one specimen. Both double-virus positive specimens were received from the same patient.

Main Article

Page created: December 07, 2010
Page updated: December 07, 2010
Page reviewed: December 07, 2010
The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.
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