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Molecular pathological techniques detected enterovirus RNA in samples from the liver, blood, ascites fluid, and pleural effusions, confirming Echovirus serotype 11. The case was managed successfully with supportive care and high-dose intravenous immunoglobulins in addition to fluoxetine.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Discussion and conclusions<\/jats:title>\n            <jats:p>This patient\u2019s unique presentation and clinical course presents important implications for the care of immunosuppressed patients with cryptic complaints.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1007\/s15010-025-02479-y","type":"journal-article","created":{"date-parts":[[2025,2,5]],"date-time":"2025-02-05T06:25:59Z","timestamp":1738736759000},"page":"1507-1512","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Echovirus serotype 11 induced sepsis in a young female patient with multiple sclerosis treated with anti-CD20 monoclonal antibody ocrelizumab"],"prefix":"10.1007","volume":"53","author":[{"given":"A. 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