Volume 23, Number 1—January 2017
Dispatch
Upsurge of Enterovirus D68, the Netherlands, 2016
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.