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Volume 23, Number 1—January 2017

Dispatch

Upsurge of Enterovirus D68, the Netherlands, 2016

Marjolein KnoesterComments to Author , Elisabeth H. Schölvinck, Randy Poelman, Sylvia Smit, Clementien L. Vermont, Hubert G.M. Niesters, and Coretta C. Van Leer-Buter
Author affiliations: University Medical Center Groningen, Groningen, the Netherlands

Main Article

Table

Characteristics of patients with EV-D68 infection, University Medical Center Groningen, Groningen, the Netherlands, June 11– August 1, 2016*

Patient Date† Age/sex Concurrent condition(s) Clinical characteristics ICU admission,
days in ICU
1 Jun 11 1 y /M None Bronchial obstruction, respiratory failure Yes/4
2 Jun 20 3 y/M None Status asthmaticus Yes/3
3 Jun 30 61 y/F Lung and liver transplantation Cough, runny nose No
4 Jul 4 5 y/M Asthma Status asthmaticus Yes/2
5 Jul 5 3 y/M Asthma Status asthmaticus Yes/3
6 Jul 7 67 y/F Autologous stem cell transplantation Influenza-like syndrome, dyspnea No
7 Jul 7 2 y/M Pulmonary hypertension, underdeveloped lung vessels Respiratory failure Yes/4
8 Jul 11 70 y/F Allogenic stem cell transplantation Influenza-like syndrome, dyspnea No
9 Jul 14 66 y/F Allogenic stem cell transplantation Cough, fever No
10 Jul 16 3 y/M Asthma Status asthmaticus Yes/4
11 Jul 16 3 mo/M Bronchopulmonary dysplasia of prematurity Respiratory failure Yes‡
12 Jul 16 1 y/F Bronchial hyperreactivity, failure to thrive Bronchial obstruction, respiratory failure Yes/8
13 Jul 22 5 y/F Asthma Status asthmaticus Yes/5
14 Jul 22 1 y/M Tracheal stoma for bilateral vocal cord paralysis Cough, wheezing No
15 Jul 23 3 y/M None Status asthmaticus Yes/5
16 Jul 24 3 y/M Atypical seizures 3 y prior Acute flaccid myelitis Yes/ongoing§
17 Jul 25 19 y/F None Influenza-like syndrome No
18 Jul 25 3 y/M Bronchial hyperreactivity Asthma exacerbation No
19 Jul 25 5 mo/M 22q11 deletion, tetralogy of Fallot, tracheal stoma Acute mechanical airway obstruction, resuscitation No¶
20 Jul 28 50 y/M Lung transplantation Cough, runny nose No
21 Jul 28 3 y/M Spinal muscular atrophy Respiratory failure Yes/5
22 Jul 29 9 mo/M Corrected esophagal atresia with related tracheomalacy for which noninvasive ventilation at home Respiratory distress with bronchorrhea No
23 Jul 30 3 y/F Bronchial hyperreactivity Status asthmaticus Yes/2
24 Jul 30 51 y/F Autologous stem cell transplantation Influenza-like syndrome No
25 Jul 31 23 y/M Childhood asthma Cough, dyspnea, nausea, vomiting No

*EV, enterovirus; ICU, intensive care unit.
†Date of first EV-D68–positive specimen.
‡Patient 11 contracted EV-D68 in the neonatal ICU.
§Patient still in ICU as of December 6, 2016.
¶Patient 19 acquired EV-D68 while admitted to the special care ward since birth.

Main Article

Page created: December 14, 2016
Page updated: December 14, 2016
Page reviewed: December 14, 2016
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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