Condition

Pediatric Parechovirus

What You Need to Know

Human parechoviruses (PeVs) are common childhood viruses that spread through respiratory droplets and contact with bodily fluids or fecal matter.

Key Symptoms

The virus usually causes very mild symptoms, or none at all. Symptoms may include:

Upper respiratory tract infection
Fever and rash

Parechoviruses can cause more severe illnesses in infants less than 3 months old.

Diagnosis

If your child's healthcare provider suspects a parechovirus infection, they can diagnose it with lab tests such throat or nasal swabs, a blood test or stool sample.

Treatment

Treatment for parechovirus typically includes

Rest
Drinking plenty of fluids
Over-the-counter fever reducing medications

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Paradoxical vocal fold movement (PVFM) is a voice a disorder. The vocal folds (cords) behave in a normal fashion almost all of the time; but, when an episode of PVFM occurs, the vocal cords inappropriately close when they should open during inspiration.

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Frequently Asked Questions

Explore frequently asked questions about parechovirus.

What is parechovirus?

What causes parechovirus in a child?

Parechovirus spreads through contact with an infected person’s respiratory droplets (through sneezing or coughing), and/or when touching surfaces — such as plates, utensils or toilet seats — that contain the virus, then later touching your nose or mouth. Both symptomatic and asymptomatic individuals can transmit the virus, which can shed from the upper respiratory tract for one to three weeks and from the gastrointestinal tract for as long as six months after infection.

What are the symptoms of parechovirus in a baby?

Many people with parechovirus don’t experience symptoms. In children 6 months to 5 years old, symptoms may include upper respiratory tract infection, fever and rash, and most children will have been infected by the virus by the time they start kindergarten. However, in infants less than 3 months, the virus can cause severe illness including sepsis-like illness, seizures and meningitis or meningoencephalitis, particularly in infants younger than one month.

Experts don’t know exactly how long it takes for symptoms to develop after coming into contact with the virus, but it’s thought to be between 3-10 days.

Serious signs to watch out for, especially in babies or toddlers, include:

High fever
Irritability
Fast heart rate
Fast breathing
Diarrhea
Drowsiness
Seizures
Widespread rash

How is parechovirus diagnosed in a child?

How is parechovirus treated in a child?

How can I protect my baby from parechovirus?

While there is no vaccine for parechovirus, good hygiene can help prevent the transmission:

Wash hands with soap and water often. Do this after using the toilet, before eating, before and after changing your child’s diapers or clothes and before feeding your child.
Sanitize your hands often.
Cover your mouth and nose when coughing or sneezing.
Frequently clean and disinfect surfaces that your child may use and play with.
Stay away from babies and young children if you’re unwell.
Whenever possible, encourage your child to wash their hands often and avoid touching their face and mouth.

When should I call my baby's healthcare provider?

Departments that Treat Parechovirus

Infectious Diseases

Our Division of Infectious Diseases is the major referral center for infectious diseases in the Washington, D.C., area, helping thousands of patients each year, and actively promoting prevention through community outreach and education. Learn more about this division.

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