Ver el código de «Enterovirus D68»

==Background==
*A viruses in the [[Enterovirus]] family
*Infection in the U.S. rarely identified 
*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<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==
*[[Asthma]]
*Foreign Body
*[[Pneumothorax]]
*[[Pneumonia]]

==Evaluation==
*[[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 - Enterovirus D68]

==References==
<references/>

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