Enterovirus D68 - Revision history

Rossdonaldson1: Text replacement - "CXR" to "CXR"

2016-09-09T10:45:27Z

Text replacement - "*CXR" to "*CXR"

← Older revision		Revision as of 10:45, 9 September 2016
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	==Evaluation==		==Evaluation==
	*CXR		*[[CXR]]
	*Labs		*Labs
	*Cultures		*Cultures

Neil.m.young: Text replacement - "==Diagnosis==" to "==Evaluation=="

2016-07-22T13:19:32Z

Text replacement - "==Diagnosis==" to "==Evaluation=="

← Older revision		Revision as of 13:19, 22 July 2016
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	*[[Pneumonia]]		*[[Pneumonia]]

	==~~Diagnosis~~==		==Evaluation==
	*CXR		*CXR
	*Labs		*Labs

Neil.m.young at 13:46, 26 June 2016

2016-06-26T13:46:37Z

← Older revision		Revision as of 13:46, 26 June 2016
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	==Background==		==Background==
	*A viruses in the [[Enterovirus]] family		*A viruses in the [[Enterovirus]] family
	*Infection in the U.S. rarely identified,		*Infection in the U.S. rarely identified
	*Outbreak in Missouri and Illinois in 8/2014		*Outbreak in Missouri and Illinois in 8/2014

	==Clinical Features==		==Clinical Features==
	Mild to severe respiratory distress, otherwise not well defined, spread via respiratory secretions and body fluids. 30 confirmed cases in Kansas City and Chicago via PCR of nasopharyngeal secretions with the following features: age range 6 weeks to 16 years, febrile- 23%, prior asthma/wheezing- 70%, 20% required NIV, 7% required intubation. All patients in Kansas City showed hypoxemia and difficulty breathing.		*Mild to severe respiratory distress, otherwise not well defined, spread via respiratory secretions and body fluids
			*30 confirmed cases in Kansas City and Chicago via PCR of nasopharyngeal secretions with the following features: age range 6 weeks to 16 years, febrile- 23%, prior asthma/wheezing- 70%, 20% required NIV, 7% required intubation<ref>Midgley CM, Jackson MA, Selvarangan R, et al. Severe Respiratory Illness Associated with Enterovirus D68 — Missouri and Illinois, 2014. MMWR. 2014; 63(36):798-799</ref>
			*All patients in Kansas City showed hypoxemia and difficulty breathing

	==Differential Diagnosis==		==Differential Diagnosis==
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	*[[Pneumonia]]		*[[Pneumonia]]

	==~~Workup~~==		==Diagnosis==
	*CXR		*CXR
	*Labs		*Labs
	*Cultures		*Cultures
	*Serum Studies(check with micro lab regarding available studies)- Enteroviral infections reportable to (NESS) National Enteroviral Surveillance System.		*Serum Studies(check with micro lab regarding available studies)- Enteroviral infections reportable to (NESS) National Enteroviral Surveillance System

	==Management==		==Management==
	*Supportive care		*Supportive care
	*Close observation for respiratory failure and possible need for NIV or ETI.		*Close observation for respiratory failure and possible need for NIV or ETI
	*No antiviral medications available		*No antiviral medications available

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	==External Links==		==External Links==
	[http://www.cdc.gov/non-polio-enterovirus/about/EV-D68.html ~~cdc.gov~~ Enterovirus D68]		[http://www.cdc.gov/non-polio-enterovirus/about/EV-D68.html CDC - Enterovirus D68]
	==~~Sources~~==
	~~[http://www.cdc.gov/mmwr/preview~~/~~mmwrhtml/mm63e0908a1.htm?s_cid=mm63e0908a1_x CDC Outbreak- Chicago, Kansas City]~~		==References==
			<references/>

	[[Category:ID]][[Category:Featured]]		[[Category:ID]][[Category:Featured]]

Rossdonaldson1: /* Differential Diagnosis */

2014-09-19T01:15:29Z

Differential Diagnosis

← Older revision		Revision as of 01:15, 19 September 2014
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	==Differential Diagnosis==		==Differential Diagnosis==
	*Asthma		*[[Asthma]]
	*Foreign Body		*Foreign Body
	*Pneumothorax		*[[Pneumothorax]]
	*Pneumonia		*[[Pneumonia]]

	==Workup==		==Workup==

Rossdonaldson1: /* Background */

2014-09-19T01:13:15Z

Background

← Older revision		Revision as of 01:13, 19 September 2014
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	==Background==		==Background==
	~~Enterovirus D68, one of many~~ viruses in the Enterovirus family ~~which also includes: coxsackie, echovirus, rhinovirus, poliovirus and enteroviruses.~~ Infection in the U.S. rarely identified, ~~with outbreak~~ in Missouri and Illinois in 8/2014.		*A viruses in the [[Enterovirus]] family
			*Infection in the U.S. rarely identified,
			*Outbreak in Missouri and Illinois in 8/2014

	==Clinical Features==		==Clinical Features==

Ostermayer at 18:13, 16 September 2014

2014-09-16T18:13:32Z

← Older revision		Revision as of 18:13, 16 September 2014
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	==Sources==		==Sources==
	[http://www.cdc.gov/mmwr/preview/mmwrhtml/mm63e0908a1.htm?s_cid=mm63e0908a1_x CDC Outbreak- Chicago, Kansas City]		[http://www.cdc.gov/mmwr/preview/mmwrhtml/mm63e0908a1.htm?s_cid=mm63e0908a1_x CDC Outbreak- Chicago, Kansas City]

			[[Category:ID]][[Category:Featured]]

Kurtucla05: added sources

2014-09-08T22:56:05Z

added sources

← Older revision		Revision as of 22:56, 8 September 2014
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	[http://www.cdc.gov/non-polio-enterovirus/about/EV-D68.html cdc.gov Enterovirus D68]		[http://www.cdc.gov/non-polio-enterovirus/about/EV-D68.html cdc.gov Enterovirus D68]
	==Sources==		==Sources==
			[http://www.cdc.gov/mmwr/preview/mmwrhtml/mm63e0908a1.htm?s_cid=mm63e0908a1_x CDC Outbreak- Chicago, Kansas City]

Kurtucla05: enterovirus d68

2014-09-08T22:48:42Z

enterovirus d68

New page

==Background==
Enterovirus D68, one of many viruses in the Enterovirus family which also includes: coxsackie, echovirus, rhinovirus, poliovirus and enteroviruses. Infection in the U.S. rarely identified, with outbreak in Missouri and Illinois in 8/2014.

==Clinical Features==
Mild to severe respiratory distress, otherwise not well defined, spread via respiratory secretions and body fluids. 30 confirmed cases in Kansas City and Chicago via PCR of nasopharyngeal secretions with the following features: age range 6 weeks to 16 years, febrile- 23%, prior asthma/wheezing- 70%, 20% required NIV, 7% required intubation. All patients in Kansas City showed hypoxemia and difficulty breathing.

==Differential Diagnosis==
*Asthma
*Foreign Body
*Pneumothorax
*Pneumonia

==Workup==
*CXR
*Labs
*Cultures
*Serum Studies(check with micro lab regarding available studies)- Enteroviral infections reportable to (NESS) National Enteroviral Surveillance System.

==Management==
*Supportive care
*Close observation for respiratory failure and possible need for NIV or ETI.
*No antiviral medications available

==Prevention==
*Wash hands often with soap and water for 20 seconds, especially after changing diapers
*Avoid touching eyes, nose and mouth with unwashed hands
*Avoid kissing, hugging, and sharing cups or eating utensils with people who are sick
*Disinfect frequently touched surfaces, such as toys and doorknobs, especially if someone is sick

==Disposition==
*Admit to ICU for respiratory support and observation

==See Also==
*[[Enteroviral Infections]]

==External Links==
[http://www.cdc.gov/non-polio-enterovirus/about/EV-D68.html cdc.gov Enterovirus D68]
==Sources==