Echovirus type 19 disease and epidemic neuromyasthenia are distinct clinical entities, as ECHO 19 lacks the objective neurological deficits characteristic of the latter.
Supports distinguishing ECHO 19 aseptic meningitis from epidemic neuromyasthenia; leaves open prospective validation of diagnostic criteria.
In the summer of 1975 an extensive epidemic of disease due to echovirus type 19 occurred in the West Midlands. The features of this outbreak, and their relationship to the syndrome referred to as 'epidemic neuromyasthenia', are discussed. The two diseases are considered to be separate entities.
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A. P. Ball (1978) studied this question.
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