Officials Report First Confirmed Child Death Due to Enterovirus D68

By Dennis Thompson

HealthDay Reporter

MONDAY, Oct. 6, 2014 (HealthDay News) -- The U.S. outbreak of Enterovirus D68 has claimed its first confirmed victim, a 4-year-old boy in New Jersey.

According to CBS News, preschooler Eli Waller, of Hamilton Township, N.J., stayed home from school with pinkeye, went to sleep that night and never woke up. His death occurred Sept. 25 but the cause of death was only released on Friday.

According to the U.S. Centers for Disease Control and Prevention, 43 states and the District of Columbia now have a total of 538 confirmed cases of Enterovirus D68, the severe respiratory illness that has been infecting children since the summer. The strain can cause paralysis and, in rare cases, death.

Waller's death is the first such case confirmed to be caused by the virus, CBS News said.

Four people infected with the virus have died in recent weeks, but it's not clear what role -- if any -- the virus played in those deaths, officials have said.

In Dallas, 11-year-old Bryan Sotelo is also fighting for his life after becoming ill with Enterovirus D68, ABC News reported on Friday. He is currently undergoing physical therapy at Children's Medical Center of Dallas, but remains too weak to lift his arms, the report said.

Health officials are also trying to determine if the virus is associated with cases of muscle weakness and even paralysis that have struck 10 children in the Denver area. Other cases of muscle weakness or paralysis have been reported in Massachusetts, Michigan and Missouri, according to The New York Times.

Doctors don't know if the limb weakness or paralysis is temporary or will be long-lasting -- or whether it has anything to do with Enterovirus D68.

Among the other child victims of the virus was a 10-year-old Rhode Island girl who died last week after she became infected with the virus and bacteria, Rhode Island and federal health officials said Wednesday.

Her death was caused by a bacterial infection, Staphylococcus aureus, that hit her at the same time as the virus, the Associated Press reported, quoting Rhode Island officials. They called it "a very rare combination," and stressed that most people infected with Enterovirus D68 typically suffer little more than a runny nose and a low-grade fever.

"We're saying we're sure that the child died of staph aureus sepsis, which is an overwhelming bacterial infection. We're sure of that," state Health Director Dr. Michael Fine said Wednesday, the Providence Journal reported.

"The virus was present in the child's body. We're not sure how much the presence of the virus contributed -- or didn't contribute -- to the child's death," he added.

The virus is behind a spike in harsh respiratory illnesses in children that started in early August.

According to the U.S. Centers for Disease Control and Prevention, the 43 states with confirmed cases of Enterovirus D68 are: Alabama, Arkansas, California, Colorado, Connecticut, Delaware, Georgia, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Carolina, South Dakota, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.

So far, almost all of the cases have involved children, the CDC said.

Enterovirus D68 is part of the family of viruses that includes the common cold. It can sometimes require hospitalization, especially for children with asthma.

The CDC said it expects more cases to be confirmed in the coming weeks because the testing for Enterovirus D68 is complex and can only be done by the CDC and a small number of state-run laboratories.

The first cases of Enterovirus D68 were diagnosed in August in Midwestern and Western states.

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