Generalised Coxsackie A9 infection in a neonate can present with massive pericardial effusion and multiorgan involvement but may still result in complete recovery.
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Severe neonatal Coxsackie A9 with pericarditis and multiorgan involvement may resolve completely; leaves open optimal management strategies.
Coxsackie A9 virus was isolated from a neonate presenting with a massive pericardial effusion. Delivery had occurred after maternal infection. The virus was cultured from the cerebrospinal fluid, urine, and faeces of the infant and from the faeces of the mother and a sibling. Despite signs of generalised infection with pericarditis, meningitis, pneumonitis, and hepatitis, recovery was complete.
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Talsma et al. (1984) studied this question.
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