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Recently, gastroenteric viruses, including rotavirus (RVA), human astrovirus (HAstV), and norovirus (NoV), have also been associated with CNS neurological disorders. The aim of the present study was to investigate the presence of EV, RVA, HAst, and NoV associated to CNS infections with undiagnosed etiology in Northwest region of S\u00e3o Paulo State, Brazil, and to conduct the molecular characterization of the positive samples detected. A total of 288 cerebrospinal fluid samples collected from July to December 2017 were tested for EV and NoV by quantitative real\u2010time polymerase chain reaction (RT\u2010qPCR), HAstV by conventional RT\u2010PCR, and RVA by enzyme\u2010linked immunosorbent assay. Positive\u2010EV samples were inoculated in cells lines, amplified by RT\u2010PCR and sequenced. RVA, NoV, and HAstV were not detected. EV infection was detected in 5.5% (16\/288), and five samples successful genotyped: echovirus 3 (E3) (1\/5), coxsackie virus A6 (CVA6) (1\/5), and coxsackie virus B4 (CVB4) (3\/5). Meningitis was the main syndrome observed (12\/16; 75%). CVA6, CVB4, and E3 were identified associated with aseptic meningitis. Reports of CVA6 associated with aseptic meningitis are rare, E3 had not been previously reported in Brazil, and epidemiological data on CVB4 in the country is virtually unknown. The present investigation illustrates the circulation of diverse EV types in a small regional sample set and in a short period of time, highlighting the importance of an active EV surveillance system in CNS infections. Enhanced understanding of undiagnosed CNS infections will assist in public health and health care planning.<\/jats:p>","DOI":"10.1002\/jmv.26216","type":"journal-article","created":{"date-parts":[[2020,6,24]],"date-time":"2020-06-24T16:38:52Z","timestamp":1593016732000},"page":"3539-3548","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Enteric viruses circulating in undiagnosed central nervous system infections at tertiary hospital in S\u00e3o Jos\u00e9 do Rio Preto, S\u00e3o Paulo, Brazil"],"prefix":"10.1002","volume":"93","author":[{"given":"Leonardo Cec\u00edlio da","family":"Rocha","sequence":"first","affiliation":[{"name":"S\u00e3o Jos\u00e9 do Rio Preto School of Medicine (FAMERP)  S\u00e3o Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C\u00e1ssia Fernanda","family":"Estofolete","sequence":"additional","affiliation":[{"name":"S\u00e3o Jos\u00e9 do Rio Preto School of Medicine 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