{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T23:21:09Z","timestamp":1792711269643,"version":"4.5.0"},"reference-count":13,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Med\ufffdInsights\ufffdPathol"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:p>The surge in severe neonatal sepsis cases caused by a novel variant of Echovirus 11 (E-11) in France and several European countries has sparked concern. The affected infants, mostly premature and twins, displayed rapid clinical decline within days after birth, presenting symptoms akin to septic shock with hepatic impairment and multi-organ failure. Laboratory findings revealed profound coagulopathy, low platelet counts, and acute renal failure, indicating severe disease progression. Genetic analysis identified a distinct recombinant E-11 lineage, previously unseen in France before July 2022. Despite its novelty, the exact pathogenicity remains uncertain. Although the World Health Organization downplaying immediate public health risks, the absence of a robust global surveillance program hinders accurate prevalence assessment. To mitigate the impact of this novel E-11 variant, establishing robust surveillance, refining diagnostic capabilities, and exploring therapeutic interventions such as intravenous immunoglobulin (IVIg) and pocapavir are imperative for effective management and prevention strategies.<\/jats:p>","DOI":"10.1177\/2632010x231213793","type":"journal-article","created":{"date-parts":[[2023,11,18]],"date-time":"2023-11-18T01:27:30Z","timestamp":1700270850000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["France Reports Rise in Severe Neonatal Infections Caused by a New Enterovirus (Echovirus-11) Variant"],"prefix":"10.1177","volume":"16","author":[{"given":"Deepak","family":"Chandran","sequence":"first","affiliation":[{"name":"Department of Animal Husbandry, Government of Kerala, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandip","family":"Chakraborty","sequence":"additional","affiliation":[{"name":"Department of Veterinary Microbiology, College of Veterinary Sciences and Animal Husbandry, West Tripura, Tripura, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sirwan Khalid","family":"Ahmed","sequence":"additional","affiliation":[{"name":"Department of Adult Nursing, College of Nursing, University of Raparin, Sulaymaniyah, Kurdistan Region, Iraq"},{"name":"Ministry of Health, General Directorate of Health-Raparin, Rania, Sulaymaniyah, Kurdistan Region, Iraq"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hitesh","family":"Chopra","sequence":"additional","affiliation":[{"name":"Department of Biosciences, Saveetha School of Engineering, Saveetha Institute of Medical and Technical Sciences, Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Md. Rabiul","family":"Islam","sequence":"additional","affiliation":[{"name":"School of Pharmacy, BRAC University, Dhaka, Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kuldeep","family":"Dhama","sequence":"additional","affiliation":[{"name":"Division of Pathology, ICAR-Indian Veterinary Research Institute, Bareilly, Izatnagar, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,11,17]]},"reference":[{"key":"bibr1-2632010X231213793","doi-asserted-by":"publisher","DOI":"10.3390\/pathogens11010060"},{"key":"bibr2-2632010X231213793","doi-asserted-by":"publisher","DOI":"10.5005\/jp-journals-11002-0036"},{"key":"bibr3-2632010X231213793","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmii.2019.08.018"},{"key":"bibr4-2632010X231213793","unstructured":"World Health Organization. Enterovirus-Echovirus 11 Infection - the European Region. WHO. Published 2023. 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France reports rise in severe neonatal infections from enterovirus variant. Published 2023. 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