Abdominal distension: an important feature in human parechovirus infection.

Harish Bangalore, Javeed Ahmed, John Bible, Esse Natasha Menson, Andrew Durward, Cheuk Yan William Tong

Department of Infection, Evelina Children's Hospital, Guy's and St. Thomas' NHS Trust, London, UK. harish.bangalore@nhs.net

The Pediatric infectious disease journal 2011 Mar

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A total of 8 infants presenting with sepsis-like illness were diagnosed to have human parechovirus (HPeV) infection; of which, 5 had abdominal distension and 6 had an erythematous rash. A combination of abdominal distension and erythematous rash was observed in 4 infants. The abdominal symptoms can be very prominent and signs could be confused with acute surgical conditions. Although fever and central nervous symptoms are important features, a red rash with abdominal distension and a low C-reactive protein value and lymphocyte count can be clues to recognize this infection.

Citation

Harish Bangalore, Javeed Ahmed, John Bible, Esse Natasha Menson, Andrew Durward, Cheuk Yan William Tong. Abdominal distension: an important feature in human parechovirus infection. The Pediatric infectious disease journal. 2011 Mar;30(3):260-2