<unk>  (EV-D68) is a member of the<unk>  genus of the Picornaviridae family.  It is a non-enveloped, positive-sense, single-stranded RNA virus. EV-D68 may be transmitted from person to person by aerosol transmission or by direct contact. It is considered a rare infection whose prevalence has recently been on the rise. Classically, it has been described as an infection of the pediatric population, but newer data is consistently suggesting an adult preponderance. Unlike other<unk> es, EV-D68 causes respiratory disease almost exclusively. The most common signs and symptoms of EV-D68 include cough, dyspnea, and wheezing. EV-D68 infection should be considered in the differential diagnosis of similar infections due to respiratory syncytial virus, adenovirus, parainfluenza virus, seasonal influenza virus B, coronavirus, and rhinovirus. Definitive diagnosis is often made by reverse transcription polymerase chain reaction (RT-PCR) that utilizes assays from patients' oral or nasopharyngeal swab specimens. Most patients are managed with supportive care as outpatients. Individuals at extremes of age, and those with a history of pulmonary or advanced systemic disease, are more likely to present with severe or complicated clinical disease, often necessitating hospitalizations, oxygen supplementation, and in some cases, mechanical ventilation.
Enterovirus 68
Coxsackie A virus
Human bocavirus
Rubella virus
Rotavirus
Human respiratory syncytial virus
Hepatitis A virus
Coxsackie B