Outbreak of enterovirus D68 of the new B3 lineage in Stockholm, Sweden, August to September 2016

Author:

Dyrdak Robert12,Grabbe Malin12,Hammas Berit12,Ekwall Jonas3,Hansson Karin E4,Luthander Joachim56,Naucler Pontus78,Reinius Henrik910,Rotzén-Östlund Maria12,Albert Jan12

Affiliation:

1. Department of Clinical Microbiology, Karolinska University Hospital, Stockholm, Sweden

2. Department of Microbiology, Tumor and Cell Biology, Karolinska Institutet, Stockholm, Sweden

3. Astrid Lindgren Children’s Hospital, Karolinska University Hospital, Stockholm, Sweden

4. Department of Infectious Diseases, Södersjukhuset, Stockholm, Sweden

5. Pediatric Infectious Disease Unit, Astrid Lindgren Children’s Hospital, Karolinska University Hospital, Stockholm, Sweden

6. Department of Women’s and Children’s Health, Karolinska Institute, Stockholm Sweden

7. Unit of Infectious Diseases, Department of Medicine Solna, Karolinska Institutet, Stockholm, Sweden

8. Department of Infectious Diseases, Karolinska University Hospital, Stockholm, Sweden

9. Department of Anesthesiology and Intensive Care, Akademiska University Hospital, Uppsala, Sweden

10. Department of Surgical Sciences, Uppsala University, Uppsala, Sweden

Abstract

We report an enterovirus D68 (EV-D68) outbreak in Stockholm Sweden in 2016. Between 22 August and 25 September EV-D68 was detected in 74/495 respiratory samples analysed at the Karolinska University Hospital. During the peak week, 30/91 (33%) samples were EV-D68 positive. Viral protein (VP)P4/VP2 sequencing revealed that cases were caused by B3 lineage strains. Forty-four (59%) EV-D68-positive patients were children aged ≤ 5 years. Ten patients had severe respiratory or neurological symptoms and one died.

Publisher

European Centre for Disease Control and Prevention (ECDC)

Subject

Virology,Public Health, Environmental and Occupational Health,Epidemiology

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