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Parechovirus infection as a cause of necrotising enterocolitis in a premature neonate
  1. Eleanor Angley,
  2. Niranjan Thomas,
  3. Eugene Kua and
  4. Asiyath Rasheed
  1. Neonatology, Sunshine Hospital, Saint Albans, Victoria, Australia
  1. Correspondence to Dr Niranjan Thomas; niranjan.abraham{at}wh.org.au

Abstract

Parechovirus is becoming increasingly recognised as a cause of morbidity in the neonatal population. It is widely known to cause sepsis, encephalitis and myocarditis. We report a case of parechovirus as a possible cause of necrotising enterocolitis in a premature neonate. The infant, who was born at 28 weeks’ gestation, deteriorated at 1 month of life with fever and abdominal distension and had evidence of intramural bowel gas on imaging. Parechovirus was subsequently isolated from naso-oropharyngeal and rectal swabs, and he was managed medically with antibiotics and cessation of enteral feeds.

  • neonatal intensive care
  • Infection (gastroenterology)
  • neonatal health

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Footnotes

  • Contributors EA, NT, EK and AR were all involved in design of the case report. EA was responsible for drafting the manuscript, with assistance from EK. NT and AR were responsible for providing guidance on interpretation and editing.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Parental/guardian consent obtained.

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