What is the list of enteroviruses (Enteric Cytopathic Human Orphan viruses)?

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From the Guidelines

Enteroviruses are a diverse group of viruses that include polioviruses, coxsackieviruses, echoviruses, and newer numbered enteroviruses, with notable types including EV-A71, EV-D68, and EV-70, which can cause a range of illnesses from mild fevers to severe conditions like meningitis, myocarditis, and paralysis. The main types of enteroviruses include:

  • Polioviruses, which are classified within species C enteroviruses and include types 1,2, and 3 1
  • Coxsackieviruses, which are divided into groups A and B, with group A having 24 serotypes, including A16, which causes hand, foot, and mouth disease, and group B having 6 serotypes that can cause myocarditis and pericarditis 1
  • Echoviruses, which comprise 28 serotypes that can cause various illnesses from mild fevers to meningitis 1
  • Newer numbered enteroviruses, including EV-D68, which is associated with respiratory illness, EV-A71, which is linked to neurological complications, and EV-70, which causes acute hemorrhagic conjunctivitis 1 Enteroviruses are transmitted through the fecal-oral route or respiratory droplets and typically cause mild, self-limiting infections, but can occasionally lead to serious conditions, particularly in infants and young children 1. Some enteroviruses, such as EV-A71 and EV-D68, have been associated with outbreaks and significant morbidity and mortality, highlighting the importance of diagnosing and characterizing enterovirus infections 1. The detection and characterization of non-polio enteroviruses are crucial for investigating outbreaks and identifying the EV types involved, especially in patients with severe clinical presentations 1.

From the Research

Enteroviruses

  • The term enteroviruses was introduced in 1957 to bring together polioviruses, Coxsackie A and B, and echoviruses, with over 60 distinct members recognized, including three polioviruses, 24 Coxsackie A, six Coxsackie B, and 30 echoviruses 2
  • The enterovirus genus includes poliovirus, coxsackieviruses, echoviruses, enterovirus 71, and enterovirus D68 3
  • Over 100 serotypes of enteroviruses are recognized, with the first to be discovered being the polioviruses 4, 5
  • Enteroviruses can cause a wide range of clinical manifestations, including non-specific febrile illness, aseptic meningitis, paralytic disease, respiratory infections, pericarditis, and myocarditis 2

Specific Types of Enteroviruses

  • Polioviruses: almost gone from the world, but still a significant member of the enterovirus genus 4
  • Coxsackieviruses: include Coxsackie A and B, with Coxsackie B being an important agent of hand, foot, and mouth disease 6
  • Echoviruses: part of the enterovirus genus, with over 30 distinct members recognized 2
  • Enterovirus 71 and Enterovirus D68: also part of the enterovirus genus, with Enterovirus 71 being a major cause of hand, foot, and mouth disease 3, 6

Classification and Discovery

  • The enteroviruses constitute one of the genera of the picornavirus family, with a history of discovery dating back to the introduction of new methods for working with viruses 4, 5
  • Albert Sabin was one of the main contributors to the discovery and classification of the enteroviruses, isolating several enterovirus types and establishing them as causative agents of human disease 5

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Research

The discovery of the enteroviruses and the classification of poliovirus among them.

Biologicals : journal of the International Association of Biological Standardization, 1993

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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