Congenital enterovirus infection

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1FDA treatments4Specialists8Treatment centers1Financial resources

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Overview

Congenital enterovirus infection refers to an infection caused by enteroviruses (including Coxsackievirus group A and B, echoviruses, and other non-polio enteroviruses) that is transmitted from mother to newborn, either transplacentally during pregnancy or perinatally around the time of delivery. This condition is classified under congenital viral diseases and can range from mild illness to severe, life-threatening disease in the neonate. The infection can affect multiple organ systems in the newborn. Key clinical manifestations include sepsis-like illness with fever or hypothermia, myocarditis (inflammation of the heart muscle), meningoencephalitis (inflammation of the brain and its surrounding membranes), hepatitis with coagulopathy (liver inflammation with bleeding disorders), and pneumonitis. Neonates are particularly vulnerable because of their immature immune systems and the potential absence of protective maternal antibodies. Skin rashes, poor feeding, lethargy, and respiratory distress are also commonly observed. Severe cases, particularly those involving myocarditis or hepatic necrosis, carry a significant risk of mortality. There is no specific antiviral therapy with proven efficacy for congenital enterovirus infection. Treatment is primarily supportive, including respiratory support, cardiovascular stabilization, and management of coagulopathy. Intravenous immunoglobulin (IVIG) has been used in severe neonatal enteroviral infections, though evidence for its efficacy remains limited. Pleconaril, an antiviral agent with activity against enteroviruses, has been investigated in clinical settings but is not widely approved for routine use. Early recognition and aggressive supportive care in a neonatal intensive care setting remain the cornerstone of management. Prognosis depends on the specific enterovirus serotype involved and the organs affected, with myocarditis and hepatitis carrying the highest morbidity and mortality.

Also known as:

Clinical phenotype terms— hover any for plain English:

Abnormality of the digestive systemHP:0025031Fetal ascitesHP:0001791
Age of Onset

Neonatal

Begins at or shortly after birth (first 4 weeks)

Orphanet ↗NORD ↗

FDA & Trial Timeline

4 events
Feb 2026

FIDAXOMICIN: FDA approved

FDAcompleted
Mar 2024Nomad P-KAFO Study

Shirley Ryan AbilityLab — NA

TrialRECRUITING
Oct 2020

INMAZEB®: FDA approved

treatment of infection caused by Zaire ebolavirus in adult and pediatric patients, including neonates born to a mother who is RT-PCR positive for Zaire ebolavirus infection

FDAcompleted
Jan 2020

Dificid: FDA approved

DIFICID® is indicated in adult and pediatric patients aged 6 months and older for the treatment of C. difficile-associated diarrhea (CDAD).

FDAcompleted

Data sourced from FDA regulatory filings and ClinicalTrials.gov. Updated periodically.

Treatments

1 available

Dificid

fidaxomicin· Cubist Pharmaceuticals LLC, a subsidiary of Merck Sharp & Dohme LLCOrphan Drug

DIFICID� is indicated in adult and pediatric patients aged 6 months and older for the treatment of C. difficile-associated diarrhea (CDAD).

No actively recruiting trials found for Congenital enterovirus infection at this time.

New trials open frequently. Follow this disease to get notified.

Search ClinicalTrials.gov ↗Join the Congenital enterovirus infection community →

Specialists

4 foundView all specialists →
MP
Michelle A Meade, PhD
Specialist
PI on 2 active trials
PP
Pirooz Eghtesady, MD, PhD
SAINT LOUIS, MO
Specialist
PI on 1 active trial
IP
Ivan Molton, PhD
SEATTLE, WA
Specialist
PI on 1 active trial
IP
Ivan R Molton, PhD
SEATTLE, WA
Specialist
PI on 1 active trial

Treatment Centers

8 centers
🏥 NORD

Baylor College of Medicine Rare Disease Center

Baylor College of Medicine

📍 Houston, TX

🏥 NORD

Stanford Medicine Rare Disease Center

Stanford Medicine

📍 Stanford, CA

🔬 UDN

NIH Clinical Center Undiagnosed Diseases Program

National Institutes of Health

📍 Bethesda, MD

🔬 UDN

UCLA UDN Clinical Site

UCLA Health

📍 Los Angeles, CA

🔬 UDN

Baylor College of Medicine UDN Clinical Site

Baylor College of Medicine

📍 Houston, TX

🔬 UDN

Harvard/MGH UDN Clinical Site

Massachusetts General Hospital

📍 Boston, MA

🏥 NORD

Mayo Clinic Center for Individualized Medicine

Mayo Clinic

📍 Rochester, MN

👤 Mayo Clinic Center for Individualized Medicine

🏥 NORD

UCLA Rare Disease Day Program

UCLA Health

📍 Los Angeles, CA

Financial Resources

1 resources
Dificid(fidaxomicin)Cubist Pharmaceuticals LLC, a subsidiary of Merck Sharp & Dohme LLC

Travel Grants

No travel grants are currently matched to Congenital enterovirus infection.

Search all travel grants →NORD Financial Assistance ↗

Community

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Latest news about Congenital enterovirus infection

Disease timeline:

New recruiting trial: Nomad P-KAFO Study

A new clinical trial is recruiting patients for Congenital enterovirus infection

Caregiver Resources

NORD Caregiver Resources

Support, advocacy, and financial assistance for caregivers of rare disease patients.

Mental Health Support

Rare disease caregiving can be isolating. Connect with counseling and peer support.

Family & Caregiver Grants

Financial assistance programs specifically for caregivers of rare disease patients.

Social Security Disability

Learn how rare disease patients may qualify for SSDI/SSI benefits.

Common questions about Congenital enterovirus infection

What is Congenital enterovirus infection?

Congenital enterovirus infection refers to an infection caused by enteroviruses (including Coxsackievirus group A and B, echoviruses, and other non-polio enteroviruses) that is transmitted from mother to newborn, either transplacentally during pregnancy or perinatally around the time of delivery. This condition is classified under congenital viral diseases and can range from mild illness to severe, life-threatening disease in the neonate. The infection can affect multiple organ systems in the newborn. Key clinical manifestations include sepsis-like illness with fever or hypothermia, myocardit

At what age does Congenital enterovirus infection typically begin?

Typical onset of Congenital enterovirus infection is neonatal. Age of onset can vary across affected individuals.

Which specialists treat Congenital enterovirus infection?

4 specialists and care centers treating Congenital enterovirus infection are listed on UniteRare, sourced from ClinicalTrials.gov principal investigators, published research, and the NPPES NPI registry.

What treatment and support options exist for Congenital enterovirus infection?

1 patient support program are currently tracked on UniteRare for Congenital enterovirus infection. See the treatments and support programs sections for copay assistance, eligibility, and contact details.