Gh. Jugulete 1, 2, Monica Luminos 1, 2, Ruxandra Măntescu 1, Rozina Iagăru 1, Dorina Duma 1, Georgeta Constantinescu 1, Elena Gheorghe 1, Anca Drăgănescu 1, Roxana Matei 1, Angelica Vişan 1, Adina Stăncescu 1, Rodica Bacruban 1, Mihaela Iosipenco 2, Ana Ioana Perşu 3
1 Institutul National de Boli Infecţioase „Prof. dr. Matei Balş”
2 U.M.F. „Carol Davila Bucureşti”
3 Institutul Naţional de Cercetare-Dezvoltare pentru Microbiologie şi Imunologie Cantacuzino, Bucureşti
Abstract
Echoviral infection in children are frequently asymptomatic, more than 90 % infections are inapparent or undifferentiated febrile illnesses. Although there are 34 identified echoviral type who has been associated: undifferentiated febrile illnesses, febrile syndrome with: exanthema, respiratory manifestations, acute hemorrhagic conjunctivitis, myocarditis, hepatitis, gastrointestinal manifestations and neurological manifestations. In our study we have monitories the acute echoviral infection in children, hospitalized in National Institute of Infection Diseases „Prof. dr. Matei Balş” during 10.04.2007-10.05.2007. All cases live in Bărbuleşti, district Ialomiţa. The cases are classified after clinical manifestations in febrile syndrome with: exanthema, neurotically and digestive manifestations. In suspect cases of acute enteroviruse infection we have monitories: the age, sex and clinical manifestations. For established etiology of infection we have laboratory tests: serologic, cerebrospinal fluid, pharyngitis exudates and stool. During April-May 2007 admitted in our clinic 54 children with acute echoviral infection, serotype 4 and all cases have similar residence. The distribution on sex was roughly similar; more cases have age 4-7 years old (38.8%). Clinically, more frequent disease was febrile syndrome with neurological manifestations (50%) and digestive manifestations (24%). The evolution was favorable in every case; we not registered deceases and severe complications. The epidemic during April-May, 2007 in children who live in Bărbuleşti district Ialomiţa have etiology: ECHO virus type 4. Greater frequency was febrile disease associate with neurological and gastrointestinal manifestations. We not registered deceases and severe complications.