Korean J Perinatol.  2010 Mar;21(1):81-85.

A Case of Perinatal Echovirus 30 Infection in a Premature Infant

• Lee HJ
• Choi CW
• Kim EK
• Kim HS
• Kim BI
• Choi JH

Abstract

Enterovirus is a very common viral agent found from summer to fall, in infants and children. In most children, clinical manifestations are mild febrile illness or aseptic meningitis, but perinatal infection can cause fatal illness such as hepatitis and myocarditis in the newborn. We experienced a case of severe echovirus 30 infection in a premature infant who was delivered from a mother with mild febrile illness. The neonate presented with sudden apnea, lethargy at 3 days after birth, and manifestated intraventricular hemorrhage, hepatic failure with coagulopathy, myocarditis, pleural effusion, pericardial effusion, and cardiac tamponade. He was treated with intravenous immunoglobulin, fresh frozen plasma, tube thoracostomy and pericardiocentesis. We reported this case with a brief review of the literatures.

Keyword

Echovirus; Preterm infant; Hepatic failure

MeSH Terms

Apnea
Cardiac Tamponade
Child
Enterovirus
Enterovirus B, Human
Hemorrhage
Hepatitis
Humans
Immunoglobulins
Infant
Infant, Newborn
Infant, Premature
Lethargy
Liver Failure
Meningitis, Aseptic
Mothers
Myocarditis
Parturition
Pericardial Effusion
Pericardiocentesis
Plasma
Pleural Effusion
Thoracostomy
Immunoglobulins