MMWR Morb Mortal Wkly Rep. 2001 Sep 14;50(36):777-80.
Echoviruses constitute one of the major groups of the genus Enterovirus and are associated with illnesses including aseptic meningitis, nonspecific rashes, encephalitis, and myositis (1). Echovirus 13 is an enterovirus that rarely has been detected in the United States, accounting for only 65 of approximately 45,000 enterovirus isolates reported to CDC during 1970-2000. No associated outbreaks have been reported in this country. As of June 2001, eight state public health laboratories and one private laboratory had reported an increased number of echovirus 13 isolates to CDC, most associated with aseptic meningitis. This report summarizes echovirus 13 activity in the United States and highlights the investigation of aseptic meningitis outbreaks in Louisiana, Mississippi, Montana, and Tennessee. Echovirus 13 should be considered in the diff erential diagnosis of persons with aseptic meningitis.
埃可病毒是肠道病毒属的主要类别之一,与包括无菌性脑膜炎、非特异性皮疹、脑炎和肌炎在内的疾病有关(1)。埃可病毒13型是一种肠道病毒,在美国很少被检测到,在1970 - 2000年期间向美国疾病控制与预防中心(CDC)报告的约45,000株肠道病毒分离株中,它仅占65株。该国尚未报告过与之相关的疫情。截至2001年6月,八个州的公共卫生实验室和一个私人实验室已向CDC报告埃可病毒13型分离株数量增加,其中大多数与无菌性脑膜炎有关。本报告总结了美国埃可病毒13型的活动情况,并重点介绍了对路易斯安那州、密西西比州、蒙大拿州和田纳西州无菌性脑膜炎疫情的调查。对于无菌性脑膜炎患者的鉴别诊断,应考虑埃可病毒13型。