Special Message from DCMS



Dear Colleagues,

Two weeks ago I sent you a note about enterovirus D68 (EV-D68) outbreak around the country. This outbreak now has spread to at least 22 states with at least 200 confirmed cases primarily in children. Fortunately we have not seen EV-D68 in Florida. We are staying vigilant for any cases in Jacksonville.

The Centers for Disease Control and Prevention (CDC) on Friday reported on nine cases of acute neurologic illness with focal limb weakness of unknown etiology in children in Denver, Colorado. This illness is reported in children one to 18 years of age (median 10 years). The specific MRI findings in the spinal cord are restricted to the gray matter and are mainly non-enhancing lesions. Altered mental status and/or seizures were not present. Although CSF showed pleocytosis, however, it was negative for West Nile Virus and enterovirus (including poliovirus). Four of six children tested were EV-D68 positive from a nasopharyngeal specimen.

Case definition and more information is available on the CDC website. The CDC wants all of us, especially infectious diseases specialists, intensive care physicians, pediatricians, neurologists, radiologists/neuroradiologists, infection preventionists, primary care providers, emergency departments and microbiology laboratories to be aware of this important information.

For more detailed information please visit:


You are our most important surveillance force so please remain vigilant and any patient that may meet the case definition should be reported to the Health Department.

Mobeen H. Rathore, MD, FPIDS, FSHEA, FIDSA
Duval County Medical Society