Population
5,612 children with suspected enterovirus infection between 1999 and 2013 in Hyogo Prefecture, Japan, of…
Design
Cohort
Authors
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Genomic evolution in CV-A6 may signal shifting pediatric manifestations; leaves open whether specific mutations drive HFMD outbreaks.
Recent hand, foot, and mouth disease outbreaks in Japan caused by CV-A6 are associated with a distinct genomic cluster compared to older strains that primarily caused herpangina.
Ogi et al. (2017) studied this question.
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