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October 1977

Fatal Neonatal Pneumonia Caused by Echovirus Type 9

Author Affiliations

Infectious Disease Unit and Pediatric Infectious Disease Unit Massachusetts General Hospital Boston, MA 02114

Am J Dis Child. 1977;131(10):1169. doi:10.1001/archpedi.1977.02120230115021

Awareness of the spectrum and importance of enteroviral disease in the neonate is growing. Previous authors have usually mentioned pneumonia only as an incidental finding1-5 or even doubted that it was related to Echoviruses.6 Berkovich and Pangan,7 however, described a nursery outbreak of upper and lower respiratory illness in which Echovirus 22 was implicated by isolation from rectal swabs and diagnostic rises in serum neutralizing titers. We wish to report a case in which Echoviral pneumonia appears to be the cause of death.

Report of a Case.—The patient, a 3,080 gm baby girl, was born during a community outbreak of Echovirus 9. Her mother had had a transient rash and her older sibling, a rash and fever to 40 C, two weeks previously. At delivery, the amniotic fluid was meconium stained and the infant had a rash. Respiratory distress and fever to 38.7 C developed in

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