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Epidemic Myalgia Associated with Human Parechovirus Type 3 Infection.

Moemi Miyazaki, Kenta Hara, Tomofumi Takayoshi, Tetsuya Kawase, Yasushi Nakagawa, Takashi Arai, Takeshi Sugimoto, Katsuhito Nishiyama, Gabriel Gonzalez, Nozomu Hanaoka, Tsuguto Fujimoto, Yoshiro Yasutomo, Koichi Yokono,

A 42-year-old man was hospitalized due to a fever, orchiodynia, and extremely severe myalgia predominantly in the extremities, which made it difficult for him to stand or walk. He had a history of contact with his son who had acute upper respiratory infection. Based on the characteristic clinical symptoms and ... Read more >>

Intern. Med. (Internal medicine (Tokyo, Japan))
[2020, 59(5):739-744]

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1. A relapsing case of Mi-2 antibody associated dermatomyositis with severe proximal weakness and bulbar involvement.

Stephen McDonald, Julie-Ann Henderson, Rosemary Friel, Philip Gardiner,

AbstractIntroductionWe present a relapsing case of dermatomyositis in a 73-year-old female with a severe disease phenotype involving cutaneous manifestations, severe symmetrical muscle weakness and bulbar involvement. Her case highlights factors associated with poorer prognosis. It further points to the first year post remission as being the highest risk for relapse, ... Read more >>

Rheumatol Adv Pract (Rheumatology advances in practice)
[2019, 3(Suppl 1):]

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Severe epidemic myalgia with an elevated level of serum interleukin-6 caused by human parechovirus type 3: a case report and brief review of the literature.

Kiwamu Nakamura, Kyoichi Saito, Yasuka Hara, Tetsuji Aoyagi, Kadzuhiro Kitakawa, Yoshinobu Abe, Hiromu Takemura, Fumihito Ikeda, Mitsuo Kaku, Keiji Kanemitsu,

BACKGROUND:Human parechovirus type 3 (HPeV-3) is known to cause cold-like symptoms, diarrhea, or severe infections such as sepsis in infants and children. In adults, HPeV-3 infection is rarely diagnosed because the symptoms are generally mild and self-limiting; however, this infection has been linked to epidemic myalgia, regardless of the presence ... Read more >>

BMC Infect. Dis. (BMC infectious diseases)
[2018, 18(1):381]

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Parechovirus A3 (PeV-A3)-associated myalgia/myositis occurs irrespective of its genetic cluster: a longitudinal molecular epidemiology of PeV-A3 in Yamagata, Japan between 2003 and 2016.

Katsumi Mizuta, Yoko Aoki, Kenichi Komabayashi, Shizuka Tanaka, Tatsushi Yamakawa, Yukitoshi Shimizu, Tsutomu Itagaki, Fumio Katsushima, Yuriko Katsushima, Tatsuya Ikeda,

No longitudinal molecular epidemiology of parechovirus A3 (PeV-A3) over a decade is available and PeV-A3-associated myalgia/myositis has been reported only in Japan. Thus, we aimed to clarify the longitudinal molecular epidemiology of PeV-A3 with a major focus on the strains detected from PeV-A3-associated myalgia/myositis cases. We performed sequence and phylogenetic ... Read more >>

J. Med. Microbiol. (Journal of medical microbiology)
[2019, 68(3):424-428]

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A systematic review of evidence that enteroviruses may be zoonotic.

Jane K Fieldhouse, Xinye Wang, Kerry A Mallinson, Rick W Tsao, Gregory C Gray,

Enteroviruses infect millions of humans annually worldwide, primarily infants and children. With a high mutation rate and frequent recombination, enteroviruses are noted to evolve and change over time. Given the evidence that human enteroviruses are commonly found in other mammalian species and that some human and animal enteroviruses are genetically ... Read more >>

Emerg Microbes Infect (Emerging microbes & infections)
[2018, 7(1):164]

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Clinical characteristics of 17 adult patients with epidemic myalgia associated with human parechovirus type 3 infection.

Tatsushi Yamakawa, Katsumi Mizuta, Katsurou Kurokawa, Hikaru Nagasawa, Takahiro Yamada, Emiko Suzuki, Manabu Wada,

We investigated 17 adult cases (14 males and 3 females) of myalgia induced by human parechovirus type 3 (HPeV3) infection, treated during the summers of 2008, 2011, 2014, and 2016. The patients were aged between 21 and 50 years. The limbs and trunk of all patients were affected, and severe ... Read more >>

Rinsho Shinkeigaku (Rinsho shinkeigaku = Clinical neurology)
[2017, 57(9):485-491]

Cited: 1 time

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Comparative evaluation of different therapeutic protocols for contagious caprine pleuropneumonia in Himalayan Pashmina goats.

Mohd Iqbal Yatoo, Oveas Raffiq Parray, Muheet Mir, Riyaz Ahmed Bhat, Hamid Ullah Malik, Mujeeb Ur Rehman Fazili, Sabia Qureshi, Masood Salim Mir, Raja Wasim Yousuf, Noor Alam Tufani, Kuldeep Dhama, Shah Tauseef Bashir,

Therapeutic management of contagious caprine pleuroneumonia (CCPP) involves mostly the use of oxytetracycline followed by enrofloxacin and rarely tylosin. In many parts of the world including India, the former antibiotics are commonly available than the latter. Therefore, prolonged use of the same leads to the development of antibiotic resistance and ... Read more >>

Trop Anim Health Prod (Tropical animal health and production)
[2019, 51(8):2127-2137]

Cited: 2 times

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Acute chest pain in an adolescent with cystic fibrosis in September: Would you have thought about this?

Hiba Dowaikh, Florence Morfin-Sherpa, Philippe Reix,

Acute chest pain is common in patients with cystic fibrosis (CF). Here we report the case of an adolescent who suffered acute chest pain in September after an history of acute abdominal pain and fever. The reason for this clinical sceneriao was found to be Coxsackievirus B3, known to be ... Read more >>

Pediatr. Pulmonol. (Pediatric pulmonology)
[2017, 52(10):E70-E72]

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Characteristics and perceptions of twice-weekly webinars for primary care physicians in Japan: a qualitative study.

Shinji Kimura, Hirotaka Onishi, Minori Kawamata,

Objectives:To explore the characteristic features and perceived value of free twice-weekly webinars predominantly focusing on the continuing professional development of primary care physicians in Japan. Methods:In this qualitative study, we conducted a focus group of the webinars' participants (n=6, a purposive sample). The discussion was recorded, with the recording subsequently ... Read more >>

Int J Med Educ (International journal of medical education)
[2018, 9:229-238]

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A case of epidemic myalgia with symptoms resembling acute purulent spondylitis and discitis.

Tsuneaki Kenzaka, Yukariko Hida, Masanori Matsumoto, Hozuka Akita,

Epidemic myalgia is a disease that presents with fever and extreme myalgia of the trunk due to an acute enterovirus infection. The trunk pain is mainly in the chest or in the epigastrium. We aimed to highlight a case of epidemic myalgia where initial diagnosis needed differentiation from acute purulent ... Read more >>

BMC Musculoskelet Disord (BMC musculoskeletal disorders)
[2016, 17:323]

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A Molecular Neurobiological Approach to Understanding the Aetiology of Chronic Fatigue Syndrome (Myalgic Encephalomyelitis or Systemic Exertion Intolerance Disease) with Treatment Implications.

Jean A Monro, Basant K Puri,

Currently, a psychologically based model is widely held to be the basis for the aetiology and treatment of chronic fatigue syndrome (CFS)/myalgic encephalomyelitis (ME)/systemic exertion intolerance disease (SEID). However, an alternative, molecular neurobiological approach is possible and in this paper evidence demonstrating a biological aetiology for CFS/ME/SEID is adduced from ... Read more >>

Mol. Neurobiol. (Molecular neurobiology)
[2018, 55(9):7377-7388]

Cited: 2 times

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Contagious caprine pleuropneumonia - a comprehensive review.

Mohd Iqbal Yatoo, Oveas Raffiq Parray, Shah Tauseef Bashir, Riyaz Ahmed Bhat, Arumugam Gopalakrishnan, Kumaragurubaran Karthik, Kuldeep Dhama, Shoor Vir Singh,

Contagious caprine pleuropneumonia (CCPP) is a serious disease of goats, occasionally sheep and wild ruminants, caused by Mycoplasma capricolum subspecies capripneumoniae (Mccp). The disease is characterized by severe serofibrinous pleuropneumonia, very high morbidity (∼100%), and mortality (80-100%). CCPP affects goats in more than 40 countries of the world thereby posing ... Read more >>

Vet Q (The veterinary quarterly)
[2019, 39(1):1-25]

Cited: 2 times

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Epidemic myalgia and myositis associated with human parechovirus type 3 infections occur not only in adults but also in children: findings in Yamagata, Japan, 2014.

K Mizuta, T Yamakawa, K Kurokawa, S Chikaoka, Y Shimizu, T Itagaki, F Katsushima, Y Katsushima, S Ito, Y Aoki, Y Matoba, S Tanaka, K Yahagi,

We previously reported an association between human parechovirus type 3 (HPeV3) and epidemic myalgia with myositis in adults during summers in which an HPeV3 outbreak occurred in children. However, this disease association has not yet been reported elsewhere. We have since continued our surveillance to accumulate data on this disease ... Read more >>

Epidemiol. Infect. (Epidemiology and infection)
[2016, 144(6):1286-1290]

Cited: 7 times

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Molecular evolution of two asymptomatic echovirus 6 strains that constitute a novel branch of recently epidemic echovirus 6 in China.

Hao Sun, Xiaoqin Huang, Keqin Lin, Kai Huang, Jiayou Chu, Zhaoqing Yang, Shaohui Ma,

Echovirus 6 (E6) infections are associated with aseptic meningitis and acute flaccid paralysis (AFP). But some infections, sometimes most of them, are asymptomatic. The mechanism of E6 virulence is unknown. Analyses of the molecular evolution of asymptomatic E6 may help understand why the infections show different manifestations.Ninety-six stool samples of ... Read more >>

Virol. J. (Virology journal)
[2017, 14(1):140]

Cited: 1 time

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A-MUPS score to differentiate patients with somatic symptom disorder from those with medical disease for complaints of non-acute pain.

Shingo Suzuki, Yoshiyuki Ohira, Kazutaka Noda, Masatomi Ikusaka,

To develop a clinical score to discriminate patients with somatic symptom disorder (SSD) from those with medical disease (MD) for complaints of non-acute pain.We retrospectively examined the clinical records of consecutive patients with pain for a duration of ≥1 month in our department from April 2003 to March 2015. We ... Read more >>

J Pain Res (Journal of Pain Research)
[2017, 10:1411-1423]

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Human parechovirus infections and child myositis cases associated with genotype 3 in Osaka City, Japan, 2014.

Seiji P Yamamoto, Atsushi Kaida, Takuto Naito, Taisuke Hosaka, Yusuke Miyazato, Shin-Ichi Sumimoto, Urara Kohdera, Atsushi Ono, Hideyuki Kubo, Nobuhiro Iritani,

Human parechovirus (HPeV) infects humans early in life and typically causes asymptomatic or mild diseases such as gastrointestinal and respiratory illness but sometimes leads to more serious consequences in neonates and young infants. In 2014, we detected HPeV from 38 patients by real-time reverse transcription-PCR in Osaka City, Japan, and ... Read more >>

J. Med. Microbiol. (Journal of medical microbiology)
[2015, 64(11):1415-1424]

Cited: 7 times

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Chest wall myositis in a patient with acute coronary syndrome.

Laila Hussein, Harith Al-Rawi,

We describe a case of a 42-year-old man who presented to the emergency department with severe left-sided chest pain and chest tenderness of 1-day duration. The pain was episodic and was aggravated by any chest wall movement. His initial blood tests and ECG were suggestive of acute coronary syndrome (ACS). ... Read more >>

BMJ Case Rep (BMJ case reports)
[2014, 2014:]

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An Out-of-Season Case of Coxsackie B Myocarditis with Severe Rhabdomyolysis.

Alaap Mehta, Kali Larson, Bindu Sarika Ganapathineedi, Esteffania Villegas, Susmitha Dande, Wahaj Ahmed, Nadew Sebro,

A 21-year-old woman was found to have fulminant myocarditis as a result of Coxsackie B infection (a virus shown to exhibit summer-fall seasonality) in mid-December. In this case report, seasonality of enteroviruses is examined, as well as additional factors which may contribute to sporadic cases during winter months. The case ... Read more >>

Case Rep Infect Dis (Case reports in infectious diseases)
[2018, 2018:4258296]

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Acute Flaccid Myelitis: Something Old and Something New.

David M Morens, Gregory K Folkers, Anthony S Fauci,

Since 2014, acute flaccid myelitis (AFM), a long-recognized condition associated with polioviruses, nonpolio enteroviruses, and various other viral and nonviral causes, has been reemerging globally in epidemic form. This unanticipated reemergence is ironic, given that polioviruses, once the major causes of AFM, are now at the very threshold of global ... Read more >>

mBio (mBio)
[2019, 10(2):]

Cited: 2 times

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Pleurodynia caused by an echovirus 1 brought back from the tropics.

Masja Leendertse, Michèle van Vugt, Kimberley S Benschop, Karin van Dijk, Rene P Minnaar, Hetty W M van Eijk, Caspar J Hodiamont, Katja C Wolthers,

A 31 year-old woman presented with acute pain on the left side of the thorax and abdomen, radiating to the back together with fever, after she had returned from traveling in Southeast Asia. Except for pleural friction rub auscultated on the left hemithorax, no physical abnormalities were detected. We diagnosed ... Read more >>

J. Clin. Virol. (Journal of clinical virology : the official publication of the Pan American Society for Clinical Virology)
[2013, 58(2):490-493]

Cited: 2 times

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Recombination Events and Conserved Nature of Receptor Binding Motifs in Coxsackievirus A9 Isolates.

Eero Hietanen, Petri Susi,

Coxsackievirus A9 (CVA9) is an enterically transmitted enterovirus and one of the most pathogenic type among human enteroviruses. CVA9 isolates use a distinctive RGD (Arg-Gly-Asp) motif within VP1 capsid protein that defines its ability to bind to integrin receptor(s) for cellular entry. To investigate CVA9 evolution and pathogenicity, genetic relationships ... Read more >>

Viruses (Viruses)
[2020, 12(1):]

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Unusual cause of pleuritic chest pain in a child.

Georgina Yan, Alastair Littlewood, Mark David Latimer,

We present the case of a 5-year-old boy with hereditary multiple exostoses who presented with left-sided pleuritic chest pain. A CT scan of the chest revealed an intrathoracic exostosis in close association with the heart. ... Read more >>

BMJ Case Rep (BMJ case reports)
[2016, 2016:]

Cited: 0 times

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Epidemic myalgia associated with human parechovirus type 3 infection among adults occurs during an outbreak among children: findings from Yamagata, Japan, in 2011.

Katsumi Mizuta, Tatsushi Yamakawa, Hikaru Nagasawa, Tsutomu Itagaki, Fumio Katsushima, Yuriko Katsushima, Yukitoshi Shimizu, Sueshi Ito, Yoko Aoki, Tatsuya Ikeda, Chieko Abiko, Makoto Kuroda, Masahiro Noda, Hirokazu Kimura, Tadayuki Ahiko,

BACKGROUND: Based on our findings in Yamagata, Japan, in 2008, we reported that human parechovirus type 3 (HPeV3) could be associated with epidemic myalgia among adults, although HPeV3 is generally associated with infectious diseases in children. OBJECTIVES: To clarify the relationship between community outbreaks among children and myalgia through the ... Read more >>

J. Clin. Virol. (Journal of clinical virology : the official publication of the Pan American Society for Clinical Virology)
[2013, 58(1):188-193]

Cited: 19 times

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Enterovirus and parechovirus infection in children: a brief overview.

S C M de Crom, J W A Rossen, A M van Furth, C C Obihara,

Enterovirus and parechovirus are a frequent cause of infection in children. This review is an overview of what is known from enterovirus and parechovirus infection in children and contains information about the epidemiology, pathogenesis, clinical presentation, diagnosis, treatment, and prognosis of enterovirus and parechovirus infection in children.EV and HPeV infections ... Read more >>

Eur. J. Pediatr. (European journal of pediatrics)
[2016, 175(8):1023-1029]

Cited: 28 times

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Myositis in a child with murine typhus.

Sheshashree Seshadri, Jaime Fergie,

A 12-year-old boy presented with fever, lower extremity pain and weakness. Examination revealed paraparesis, thigh and calf tenderness. Labs showed high creatinine phosphokinase and Rickettsia typhi titers. This case illustrates endemic typhus should be considered in the differential diagnosis of myositis especially in areas with high prevalence of the disease. ... Read more >>

Infect Dis Rep (Infectious disease reports)
[2014, 6(1):5145]

Cited: 0 times

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