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A large-scale outbreak of hand, foot and mouth disease, France, as at 28 September 2021
- Audrey Mirand1,2 , Robert Cohen3 , Maxime Bisseux1,2 , Stéphanie Tomba2 , Fabienne Cahn Sellem4 , Nathalie Gelbert4 , Stéphane Béchet3 , Bruno Frandji5 , Christine Archimbaud1,2 , Amélie Brebion1 , Hélène Chabrolles1,2 , Christel Regagnon1 , Corinne Levy3 , Jean-Luc Bailly1,2 , Cécile Henquell1,2
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View Affiliations Hide AffiliationsAffiliations: 1 CHU Clermont-Ferrand, Laboratoire de Virologie, Centre National de Référence des entérovirus et parechovirus - Laboratoire Associé, Clermont-Ferrand, France 2 Université d’Auvergne, LMGE UMR CNRS 6023 Equipe EPIE - Epidémiologie et physiopathologie des infections à entérovirus, Faculté de Médecine, Clermont-Ferrand, France 3 Association Clinique et Thérapeutique Infantile du Val de Marne (ACTIV), Créteil, France 4 Association Française de Pédiatrie Ambulatoire (AFPA), Orléans, France 5 CompuGroup Medical France, Nanterre, FranceAudrey Mirandamirand chu-clermontferrand.fr
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Citation style for this article: Mirand Audrey, Cohen Robert, Bisseux Maxime, Tomba Stéphanie, Sellem Fabienne Cahn, Gelbert Nathalie, Béchet Stéphane, Frandji Bruno, Archimbaud Christine, Brebion Amélie, Chabrolles Hélène, Regagnon Christel, Levy Corinne, Bailly Jean-Luc, Henquell Cécile. A large-scale outbreak of hand, foot and mouth disease, France, as at 28 September 2021. Euro Surveill. 2021;26(43):pii=2100978. https://doi.org/10.2807/1560-7917.ES.2021.26.43.2100978 Received: 14 Oct 2021; Accepted: 28 Oct 2021
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Abstract
We report a large-scale outbreak of hand, foot and mouth disease (HFMD) in France. As at 28 September 2021, 3,403 cases have been reported (47% higher than in 2018–19). We prospectively analysed 210 clinical samples; 190 (90.5%) were enterovirus-positive. Most children presented with atypical HFMD. Coxsackievirus (CV)A6 (49.5%; 94/190) was predominant; no enterovirus A71 was detected. Dermatological and neurological complications of HFMD justify prospective syndromic and virological surveillance for early detection of HFMD outbreaks and identification of associated types.
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