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Enterovirus A71 Meningoencephalitis Outbreak, Rostov-on-Don, Russia, 2013.

Ludmila V Akhmadishina, Marina V Govorukhina, Evgeniy V Kovalev, Svetlana A Nenadskaya, Olga E Ivanova, Alexander N Lukashev
Emerging Infectious Diseases 2015 August
Seventy-eight cases of enterovirus infection, including 25 neuroinfections, occurred in Rostov-on-Don, Russia, during May-June 2013. The outbreak was caused by an enterovirus A type 71 (EV-A71) subgenotype C4 lineage that spread to neighboring countries from China ≈3 years earlier. Enterovirus associated neuroinfection may emerge in areas with a preceding background circulation of EV-A71 with apparently asymptomatic infection.

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