Reflecting on the 1998 enterovirus outbreak: A 25-year retrospective and learned lessons

  • Peng Nien Huang
  • , Shao Hsuan Hsia
  • , Kuan Ying Arthur Huang
  • , Chih Jung Chen
  • , En Tzu Wang
  • , Shin Ru Shih
  • , Tzou Yien Lin

Research output: Contribution to journalReview articlepeer-review

Abstract

Enterovirus A71 (EV-A71) infections are a major Asia-Pacific health issue. However, this infection can cause serious and potentially fatal neurological issues. We attempt to explain EV-A71's molecular virology, epidemiology, and recombination events in this review. The clinical and neurological signs of EV-A71 infections are well documented. The review discusses EV-A71 central nervous system infections' causes, diagnostic criteria, treatment choices, and prognosis. Some consequences are aseptic meningitis, acute flaccid paralysis, and acute transverse myelitis. These problems' pathophysiology and EV-A71's central nervous system molecular processes are examined in the review. EV-A71 infections must be diagnosed accurately for therapy. No particular antiviral medications exist for EV-A71 infections, thus supportive care is the main treatment. The study emphasises addressing symptoms including temperature, dehydration, and pain to ease suffering. EV-A71 CNS infections have different prognoses depending on severity. The review discusses long-term effects and neurological sequelae of EV-A71 infections. In conclusion, Asia-Pacific public health is threatened by EV-A71 infections. This review helps prevent, diagnose, and treat EV-A71 infections by addressing the mechanisms, diagnostic criteria, treatment choices, and prognosis. This study fully examines the challenges and considerations of managing and treating EV-A71 infections. It also recommends future research and development to generate effective viral infection treatments.

Original languageEnglish
Article number100715
JournalBiomedical Journal
Volume48
Issue number1
DOIs
Publication statusPublished - Feb 2025
Externally publishedYes

ASJC Scopus subject areas

  • General Medicine

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