211.4 📌 章末速蚘

  • Enteroviruses > 100 serotypes, ssRNA picornavirus, fecal-oral
  • Aseptic meningitis — enterovirus #1 cause
  • HFMD: Coxsackie A16 classic, EV-71 severe (Asia/Taiwan, brainstem encephalitis + pulmonary edema)
  • Coxsackie B: pleurodynia (“devil’s grip”), myocarditis, pancreatitis
  • Polio: wild type 1 in Pakistan + Afghanistan only 2024; cVDPV2 outbreaks; 2022 NYS USA case
  • Post-polio syndrome: late motor neuron exhaustion
  • Acute Flaccid Myelitis: EV-D68 + EV-71, polio-like
  • EV-71 vaccines licensed (China + Taiwan)
  • Vaccines: OPV (Sabin oral attenuated) vs IPV (Salk inactivated); nOPV2 for cVDPV outbreaks
  • Treatment: supportive; pleconaril/pocapavir investigational; IVIG for severe/immunocompromise/neonatal
  • 2022 NYC + UK wastewater detection = surveillance reminder