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Letter
Enteroviral meningoencephalitis in an infant: an increasingly recognised infection
  1. Patrick J Oades1,
  2. Shamez Ladhani2
  1. 1Royal Devon & Exeter Foundation NHS Trust, Exeter, Devon, UK
  2. 2Hepatitis and Blood Safety Department, Public Health England Colindale, Immunisation, London, UK
  1. Correspondence to Dr Patrick J Oades, Royal Devon & Exeter Foundation NHS Trust, Barrack Rd, Exeter, Devon EX2 5DW, UK; Patrick.oades{at}nhs.net

https://doi.org/10.1136/archdischild-2014-307372

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    A baby boy was delivered at 37 weeks gestation following induction for maternal illness with abdominal pain and an elevated C-reactive protein (CRP). The baby was born in good condition and weighed 3.2 kg. His newborn examination was normal apart from mild jaundice for which he received phototherapy on day 2. Four-hourly observations were normal and he was discharged the next day. During the next 3 days he fed less well and by day 7 appeared listless and was brought back to hospital. Initial assessment recorded weight 2.9 kg, moderate jaundice, reduced responsiveness, poor perfusion and irregular breathing but no fever or rash. Initial blood tests were normal other …

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    Footnotes

    • Contributors PJO managed the case, provided the clinical information and counselled the family obtaining consent to submit the letter. SL helped write the letter and relate its content to the BPSU survey.

    • Competing interests None.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; internally peer reviewed.