Enterovirus Infections

摘要

During Monday morning clinic in mid-July, you refer 2 cases to the emergency department (ED). The first is a 2-week-old neonate who has had 1 day of decreased oral intake and a temperature of iO2°F (38.9) at your clinic. The baby appears alert with normal findings on physical examination. Later in the morning you receive an update call from the ED attending physician. Examination of the cerebrospinal fluid (CSF) shows pleocytosis with 55 white blood cells/umL but normal glucose (68 mg/dL) and protein (90 mg/dL) measurements. The Gram stain is negative. The CSF is positive for enterovirus (EV) by polymerase chain reaction (PCR) assay