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Neonatal parechovirus infection mimicking a surgical abdomen
  1. Megan J Kirkley1,2,
  2. Christine Robinson1,
  3. Samuel R Dominguez1,2 and
  4. Kevin Messacar1,2
  1. 1 Children’s Hospital Colorado, Aurora, Colorado, USA
  2. 2 Department of Pediatrics, University of Colorado, Aurora, Colorado, USA
  1. Correspondence to Dr Kevin Messacar, kevin.messacar{at}


Human parechovirus-3 (PeVA3) infection is a common cause of febrile illness in young infants and the spectrum of clinical presentation is broad. We describe a term infant who presented with marked abdominal distension and anorexia, concerning for an acute surgical abdomen. Evaluation revealed that the infant had PeVA3 infection. This case highlights the importance of recognising severe abdominal distension and discomfort as a clinical presentation associated with PeV and the potential utility of rapid testing for PeV.

  • infectious diseases
  • paediatrics
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  • Contributors MJK conceptualised the report, drafted the initial manuscript, and reviewed and revised the manuscript. KM conceptualised the report and critically reviewed and revised the manuscript for important intellectual content. CR and SRD critically reviewed and revised the manuscript for important intellectual content. All authors had full access to the manuscript presented, accept responsibility for the decision to submit for publication, and are accountable for all aspects of the work.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial, or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Parental/guardian consent obtained.

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