Abstract
With a worldwide distribution, enteroviruses are among the most common organisms known to infect humans. Significant human enteroviral infection has a broad range of manifestations involving most of the major organ systems. Although infection often may remain totally asymptomatic, in contrast, several enterovirus-associated syndromes are life threatening. Furthermore, differing clinical manifestations may result from the same serotype of enterovirus at different times and locations. Contagion is generally due to fecal-oral exposure, suggesting that careful hygiene should afford protection, yet enteroviruses may be relatively resistant to routine sanitation measures such as chlori-nation. Traditionally, water purification standards have been directed more toward elimination of enteric bacteria than viruses. The development of vaccines for all serious enteroviral infections in frustrated by the large number of enteroviruses capable of causing significant disease. Despite current medical sophistication, nonpolio enteroviruses remain an incompletely resolved health issue. Prevalence of enterovirus infection is more common among lower socioeconomic groups and in tropical climates.1 Regional and even worldwide epidemics occur regularly. Local outbreaks are more characteristic during summer and fall months in temperate climates. Table 13–1 summarizes the main events in the history of enteroviruses.
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Summers, P.R., Sharp, H.T. (1994). Enterovirus. In: Gonik, B. (eds) Viral Diseases in Pregnancy. Clinical Perspectives in Obstetrics and Gynecology. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-2640-6_13
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DOI: https://doi.org/10.1007/978-1-4612-2640-6_13
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