» Articles » PMID: 37261730

Severe and Fatal Neonatal Infections Linked to a New Variant of Echovirus 11, France, July 2022 to April 2023

Abstract

We report nine severe neonatal infections caused by a new variant of echovirus 11. All were male, eight were twins. At illness onset, they were 3-5 days-old and had severe sepsis and liver failure. This new variant, detected in France since April 2022, is still circulating and has caused more fatal neonatal enterovirus infections in 2022 and 2023 (8/496; 1.6%, seven associated with echovirus 11) compared with 2016 to 2021 (7/1,774; 0.4%). National and international alerts are warranted.

Citing Articles

Two dramatically different clinical scenarios of neonatal Echovirus-11 infection in late preterm male twins: a case report and review of the literature.

Perniciaro S, Proietti C, Bossi A, Maragliano R, Facco C, Novazzi F Ital J Pediatr. 2025; 51(1):49.

PMID: 39980007 PMC: 11844064. DOI: 10.1186/s13052-025-01880-5.


Synergistic combination of orally available safe-in-man pleconaril, AG7404, and mindeudesivir inhibits enterovirus infections in human cell and organoid cultures.

Ravlo E, Ianevski A, Schjolberg J, Solvang V, Dumaru R, Lysvand H Cell Mol Life Sci. 2025; 82(1):57.

PMID: 39843710 PMC: 11754576. DOI: 10.1007/s00018-025-05581-4.


Neonatal acute liver failure cases with echovirus 11 infections, Japan, August to November 2024.

Ikuse T, Matsui T, Shoji K, Kono N, Yamada M, Ogimi C Euro Surveill. 2025; 30(1.

PMID: 39790073 PMC: 11719806. DOI: 10.2807/1560-7917.ES.2025.30.1.2400822.


Overview of the Trending Enteric Viruses and Their Pathogenesis in Intestinal Epithelial Cell Infection.

Chio C, Chien J, Chan H, Huang H Biomedicines. 2025; 12(12.

PMID: 39767680 PMC: 11672972. DOI: 10.3390/biomedicines12122773.


Performance Evaluation of Molecular Detection of Enteroviruses: Results of 18 Years of Quality Control for Molecular Diagnostics (QCMD) External Quality Assessment Program, 2005-2022.

Benschop K, Staines H, Mckloud E, McCulloch E, Montgomery D, Sutton G J Med Virol. 2024; 96(12):e70103.

PMID: 39654326 PMC: 11628893. DOI: 10.1002/jmv.70103.


References
1.
Torres-Torres S, Myers A, Klatte J, Rhoden E, Oberste M, Collett M . First use of investigational antiviral drug pocapavir (v-073) for treating neonatal enteroviral sepsis. Pediatr Infect Dis J. 2014; 34(1):52-4. DOI: 10.1097/INF.0000000000000497. View

2.
Abzug M, Michaels M, Wald E, Jacobs R, Romero J, Sanchez P . A Randomized, Double-Blind, Placebo-Controlled Trial of Pleconaril for the Treatment of Neonates With Enterovirus Sepsis. J Pediatric Infect Dis Soc. 2015; 5(1):53-62. PMC: 4765488. DOI: 10.1093/jpids/piv015. View

3.
Khetsuriani N, Lamonte A, Oberste M, Pallansch M . Neonatal enterovirus infections reported to the national enterovirus surveillance system in the United States, 1983-2003. Pediatr Infect Dis J. 2006; 25(10):889-93. DOI: 10.1097/01.inf.0000237798.07462.32. View

4.
Chen J, Jing H, Martin-Nalda A, Bastard P, Riviere J, Liu Z . Inborn errors of TLR3- or MDA5-dependent type I IFN immunity in children with enterovirus rhombencephalitis. J Exp Med. 2021; 218(12). PMC: 8570298. DOI: 10.1084/jem.20211349. View

5.
Duval M, Mirand A, Lesens O, Bay J, Caillaud D, Gallot D . Retrospective Study of the Upsurge of Enterovirus D68 Clade D1 among Adults (2014-2018). Viruses. 2021; 13(8). PMC: 8402803. DOI: 10.3390/v13081607. View