Abstract
Of 37 children from Toronto and surrounding districts who developed aseptic meningitis during summer 1962, 17 excreted Echo 9 virus in feces and/or cerebrospinal fluid, 12 of whom showed rising or elevated Echo 9 antibody levels in paired sera. A further two patients yielded Echo 14 virus from cerebrospinal fluid, one of whose feces also contained this virus, and both patients showed rising Echo 14 antibody titres. Morbilliform rashes without rhinitis or conjunctivitis were encountered in three Echo 9 excretors who had aseptic meningitis and in six patients without meningitis, three of whom yielded Echo 9 virus.
Paralytic poliomyelitis was encountered in three patients, all of whom excreted polioviruses which showed aluminum marker characteristics of virulent strains. One Type III patient presented with twitching and left-sided hemiparesis.
Febrile reactions accompanied by headache or other symptoms were observed in seven children who ingested Sabin trivalent poliovirus vaccine one to 17 days previously. All made complete clinical recoveries. Polioviruses with aluminum or temperature markers typical of attenuated vaccine strains were isolated from feces of all patients, including Type III from five patients, Type I from three patients and Type II from one patient.
Full text
PDF



Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- BOYD A. R., MOSLEY W. The use of poliovirus vaccine live, oral (Sabin), trivalent, in metropolitan Toronto, 1962. Can J Public Health. 1962 Aug;53:326–329. [PubMed] [Google Scholar]
- FAULKNER R. S., MACLEOD A. J., VAN ROOYEN C. E. Virus meningitis-seven cases in one family. Can Med Assoc J. 1957 Sep 1;77(5):439–444. [PMC free article] [PubMed] [Google Scholar]
- FOLEY J. F., CHIN T. D., GRAVELLE C. R. Paralytic disease due to infection with ECHO virus type 9 report of a case with residual paralysis. N Engl J Med. 1959 Apr 30;260(18):924–926. doi: 10.1056/NEJM195904302601807. [DOI] [PubMed] [Google Scholar]
- GEAR J., MEASROCH V. Cases of meningo-encephalitis due to the Coxsackie A-like ECHO 9 virus. S Afr Med J. 1958 Nov 1;32(44):1062–1066. [PubMed] [Google Scholar]
- KIBRICK S., ENDERS J. F. Disease due to ECHO virus type 9 in Massachusetts, 1958. N Engl J Med. 1958 Sep 4;259(10):482–484. doi: 10.1056/NEJM195809042591006. [DOI] [PubMed] [Google Scholar]
- LANDSMAN J. B., BELL E. J. E.C.H.O. type 9 infection in 1960. A study in general practice. Br Med J. 1962 Jan 6;1(5270):12–16. doi: 10.1136/bmj.1.5270.12. [DOI] [PMC free article] [PubMed] [Google Scholar]
- LEPOW M. L., CARVER D. H., WRIGHT H. T., Jr, WOODS W. A., ROBBINS F. C. A clinical, epidemiologic and laboratory investigation of aseptic meningitis during the four-year period, 1955-1958. I. Observations concerning etiology and epidemiology. N Engl J Med. 1962 Jun 7;266:1181–1187. doi: 10.1056/NEJM196206072662301. [DOI] [PubMed] [Google Scholar]
- McLEAN D. M., CAMERON D. Aseptic meningitis due to infection with ECHO virus (type 9). J Hyg (Lond) 1957 Dec;55(4):464–474. doi: 10.1017/s0022172400037360. [DOI] [PMC free article] [PubMed] [Google Scholar]
- McLEAN D. M. Patterns of infection with enteroviruses. J Pediatr. 1959 Jun;54(6):823–828. doi: 10.1016/s0022-3476(59)80153-0. [DOI] [PubMed] [Google Scholar]
- McLean D. M., McQueen E. J., McNaughton G. A. Infections with Enteroviruses in Toronto, 1961. Can Med Assoc J. 1962 Feb 24;86(8):359–362. [PMC free article] [PubMed] [Google Scholar]
- PLAGER H., HARRISON F. F. Paralysis associated with ECHO virus type nine. N Y State J Med. 1961 Mar 1;61:798–800. [PubMed] [Google Scholar]
- PRINCE J. T., GEME J. W., Jr, SCHERER W. F. ECHO-9 virus exanthema. J Am Med Assoc. 1958 Jun 7;167(6):691–696. doi: 10.1001/jama.1958.02990230017002. [DOI] [PubMed] [Google Scholar]
- QUERSIN-THIRY L., NIHOUL E., DEKKING F. Echo virus type 9 (new member of Coxsackie group type A?) as a cause of epidemic meningitis. Science. 1957 Apr 19;125(3251):744–745. doi: 10.1126/science.125.3251.744. [DOI] [PubMed] [Google Scholar]
- TYRRELL D. A., LANE R. R., SNELL B. Further studies of an epidemic of exanthem associated with aseptic meningitis. Q J Med. 1958 Jul;27(107):323–333. [PubMed] [Google Scholar]
- WALLIS C., MELNICK J. L., FERRY G. D., WIMBERLY I. L. An aluminum marker for the differentiation and separation of virulent and attenuated polioviruses. J Exp Med. 1962 Apr 1;115:763–775. doi: 10.1084/jem.115.4.763. [DOI] [PMC free article] [PubMed] [Google Scholar]
- WIGAND R., SABIN A. B. Properties of epidemic strains of ECHO type 9 virus and observations on the nature of human infection. Arch Gesamte Virusforsch. 1962;11:683–707. doi: 10.1007/BF01243308. [DOI] [PubMed] [Google Scholar]
