Life-Threatening Infant Virus On The Rise Across The Nation: Parechovirus

According to a health alert from the Center for Disease Control and Prevention (CDC), parechovirus cases have been on the rise in newborns and infants, causing severe, life-threatening disease in some cases.

Parechovirus is described as a group of viruses that are generally more harmful to children, and the recent cases are a part of the subtype A3. This subtype has risen over the last two months and is causing a more severe disease in newborns and infants, which include seizures, meningitis, and sepsis.

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The CDC said that the uptick in cases could actually be attributed to an increase of testing rather than an increase of actual cases.

University of Florida Health Chief of Infectious Disease, Dr. Mobeen Rathore, however, said, “We have not been testing routinely locally we have tested a few babies and we have seen some, but very few.” The CDC has also reportedly not been tracking cases consistently.

The CDC also said that parechovirus could have had lessened exposure rates due to Covid restrictions, and then come back into full swing as restrictions eased.

Dr. Kevin Messacar, a pediatric infectious disease physician and researcher at Children’s Hospital Colorado and University of Colorado, said, “We noticed a few months ago reports starting to pop up throughout the country and now it appears that there’s widespread circulation of parechoviruses throughout the country.

“It’s not only that we are seeing the rare, severe cases that we have seen in the past. We’re also seeing more parechovirus activity in general and earlier in the season than we typically would see.”

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The cases have spread across multiple states, although there has not been full information released on which states or how many cases within each. It’s been reported that one infant death was due to A3 parechovirus in Connecticut.

A Jacksonville, Florida local NBC affiliate spoke with Dr. Rathore, who said, “It’s not a new virus, we’ve known about it for several years. You can get a respiratory infection, you have infection of the gastrointestinal system. The real worry about Parechovirus is neonates who may present with meningitis and nervous system signs and symptoms.”

Mild symptoms include fever, lethargy, loss of appetite, respiratory infection, and a rash on the hands and feet that can be flat and red or have raised bumps on the edge, which is why it’s sometimes referred to as a “mittens and booties rash.”

Dr. Dean Blumberg, chief of pediatric infectious diseases at UC Davis Children’s Hospital, said that while there’s no treatment for this group of viruses, most cases get better on their own like other viruses, within two to 10 days. “The vast majority of patients are going to get better on their own,” Blumberg said. “It’s just going to run its course. They’ll be sick for a few days, the rash will gradually fade, the fever will get better.”

While most children will recover within a few days of a mild illness, some other children, usually under three months old, can see more severe symptoms, which include “signs of neurological issues like severe lethargy, seizures, an inability to eat or persistent fussiness that cannot be consoled.” Some cases also see infants with “inflammation that depletes white blood cells in the brain and spinal cord.”

Dr. Rathore said that this virus is not anymore concerning than it has been in the past. So far, no physicians have publicly commented on a possible connection between this group of viruses and the parents of newborns having potentially received a Covid shot.

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Life-Threatening Infant Virus On The Rise Across The Nation: Parechovirus
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