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February 1963

Encephalitis Due to Group B, Type 5 Coxsackie Virus

Author Affiliations

Stuart H. Walker, M.D., Department of Pediatrics, Mercy Hospital, Inc., Calvert and Saratoga St., Baltimore 2, Md.; Associate Professor, Pediatrics, University of Maryland, School of Medicine; Chief, Department of Pediatrics, Mercy Hospital (Dr. Walker).; Instructor, Department of Medicine, Division of Infectious Diseases, University of Maryland, School of Medicine (Dr. Togo).; From the Department of Pediatrics, Mercy Hospital, University of Maryland, School of Medicine.

Am J Dis Child. 1963;105(2):209-212. doi:10.1001/archpedi.1963.02080040211014

Convincing evidence has been presented of the etiologic association of Group B Coxsackie virus with respiratory tract inflammation, pleurodynia, pericarditis, myositis including myocarditis, and the aseptic meningitis syndrome. Since first noted by Steigman,1 a small but significant percentage of mild, transient, paralytic lower motor-neurone disease clinically indistinguishable from poliomyelitis has been demonstrated to be consequent to Coxsackie Group A and B and ECHO virus infection.2-5 Overt encephalitis with serious neurologic derangement due to Coxsackie virus infection has been, with rare exceptions, confined to infancy and associated with diffuse visceral disease involving the liver and myocardium.6,7 Thus, the occu[ill] rence in a 9-year-old boy of severe encephalitis proved to be associated with Group B, Type 5 Coxsackie virus infection emphasizes the need to reconsider the neurotropic potentialities of this group of agents.

Report of a Case  A 9-year-old Caucasian boy entered the hospital because of persistent vomiting and

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