Modern idea of enteroviral infection as a polietiologic disease (review of literature)

Enteroviral infections have large polymorphism of clinical manifestations. In recent years, introduction of polymerase chain reaction for the etiological confirmation of diagnosis necessitated the revision and refinement of clinical manifestations of disease associated with individual causative agen...

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Main Authors: O. V. Riabokon, E. V. Usacheva, О. M. Kamyshnyі, D. A. Zadiraka, E. A. Tkacheva
Format: Article
Language:English
Published: Zaporizhzhia State Medical and Pharmaceutical University 2017-04-01
Series:Patologìâ
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Online Access:http://pat.zsmu.edu.ua/article/view/97495/95728
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author O. V. Riabokon
E. V. Usacheva
О. M. Kamyshnyі
D. A. Zadiraka
E. A. Tkacheva
author_facet O. V. Riabokon
E. V. Usacheva
О. M. Kamyshnyі
D. A. Zadiraka
E. A. Tkacheva
author_sort O. V. Riabokon
collection DOAJ
description Enteroviral infections have large polymorphism of clinical manifestations. In recent years, introduction of polymerase chain reaction for the etiological confirmation of diagnosis necessitated the revision and refinement of clinical manifestations of disease associated with individual causative agents of this infection. The aim of this work is to analyze the data of modern literature concerning the characteristics of the manifestations of enteroviral infection in conjunction with a specific serotype of the pathogen. Presented literature review conducted in the framework of the open cohort study of the Joint Small Grants Programme WHO/HHWS focused on programs to combat infectious diseases on the topic: "New approaches to the diagnosis of major clinical forms of enteroviral infection in children and adults" According to the latest changes of the database of the International Committee on taxonomy of viruses the genus Enterovirus includes 4 types of human enteroviruses, which are more than 100 serotypes of enteroviruses, which differ in the receptors they use for entry into the cell-target immune response of the host and, in a certain way, the spectrum of associated clinical manifestations. Every 3-4 years epidemic outbreaks are recorded in different countries of the world, caused by different serotypes of the virus. Despite the fact that the same serotype of enterovirus can cause different clinical forms of the disease, symptoms that are prevalent in patients with different outbreaks of enteroviral infection have a certain relationship with serotype. In modern conditions enterovirus type 71 infection has the most pronounced neurotropism, which causes the development of serous meningitis or meningoencephalitis. Conclusions. Diagnosis of enteroviral infection requires mandatory laboratory confirmation, since the disease is polyetiological and is characterized by the polymorphism of clinical symptoms. Outbreaks of enteroviral infection occur periodically, and clinical manifestations that are prevalent in patients in different outbreaks have a definite correlation with serotype. Special attention today is attracted to enteroviral infection caused by enterovirus type 71, which is characterized by neurotropism.
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spelling doaj-art-5c387c0adbe84003a69bfeebaed2159b2025-08-20T03:26:25ZengZaporizhzhia State Medical and Pharmaceutical UniversityPatologìâ2306-80272310-12372017-04-01111011610.14739/2310-1237.2017.1.97495Modern idea of enteroviral infection as a polietiologic disease (review of literature)O. V. RiabokonE. V. UsachevaО. M. KamyshnyіD. A. ZadirakaE. A. TkachevaEnteroviral infections have large polymorphism of clinical manifestations. In recent years, introduction of polymerase chain reaction for the etiological confirmation of diagnosis necessitated the revision and refinement of clinical manifestations of disease associated with individual causative agents of this infection. The aim of this work is to analyze the data of modern literature concerning the characteristics of the manifestations of enteroviral infection in conjunction with a specific serotype of the pathogen. Presented literature review conducted in the framework of the open cohort study of the Joint Small Grants Programme WHO/HHWS focused on programs to combat infectious diseases on the topic: "New approaches to the diagnosis of major clinical forms of enteroviral infection in children and adults" According to the latest changes of the database of the International Committee on taxonomy of viruses the genus Enterovirus includes 4 types of human enteroviruses, which are more than 100 serotypes of enteroviruses, which differ in the receptors they use for entry into the cell-target immune response of the host and, in a certain way, the spectrum of associated clinical manifestations. Every 3-4 years epidemic outbreaks are recorded in different countries of the world, caused by different serotypes of the virus. Despite the fact that the same serotype of enterovirus can cause different clinical forms of the disease, symptoms that are prevalent in patients with different outbreaks of enteroviral infection have a certain relationship with serotype. In modern conditions enterovirus type 71 infection has the most pronounced neurotropism, which causes the development of serous meningitis or meningoencephalitis. Conclusions. Diagnosis of enteroviral infection requires mandatory laboratory confirmation, since the disease is polyetiological and is characterized by the polymorphism of clinical symptoms. Outbreaks of enteroviral infection occur periodically, and clinical manifestations that are prevalent in patients in different outbreaks have a definite correlation with serotype. Special attention today is attracted to enteroviral infection caused by enterovirus type 71, which is characterized by neurotropism.http://pat.zsmu.edu.ua/article/view/97495/95728enteroviral infectionclinic
spellingShingle O. V. Riabokon
E. V. Usacheva
О. M. Kamyshnyі
D. A. Zadiraka
E. A. Tkacheva
Modern idea of enteroviral infection as a polietiologic disease (review of literature)
Patologìâ
enteroviral infection
clinic
title Modern idea of enteroviral infection as a polietiologic disease (review of literature)
title_full Modern idea of enteroviral infection as a polietiologic disease (review of literature)
title_fullStr Modern idea of enteroviral infection as a polietiologic disease (review of literature)
title_full_unstemmed Modern idea of enteroviral infection as a polietiologic disease (review of literature)
title_short Modern idea of enteroviral infection as a polietiologic disease (review of literature)
title_sort modern idea of enteroviral infection as a polietiologic disease review of literature
topic enteroviral infection
clinic
url http://pat.zsmu.edu.ua/article/view/97495/95728
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