Echovirus Infection Treatment & Management

Updated: Jun 14, 2019
  • Author: Madhu Chhanda Choudhary, MD; Chief Editor: Michael Stuart Bronze, MD  more...
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Medical Care

Most echoviral infections are self-limited and require no specific therapy. Medical treatment is supportive and symptomatic. Pleconaril, an experimental agent with in vitro activity against most enteroviruses, was evaluated in clinical trials but has not been approved by the FDA for use as an antiviral agent. [33]

Intravenous gamma globulin (IVIG) therapy has been used to treat immunocompromised patients with persistent echoviral infection. The role of IVIG in serious infections has not been subjected to adequate clinical trials. Nonrandomized trials in neonates and children with myocarditis treated with IVIG showed improved recovery in ventricular function compared with children treated without IVIG. [34]



The ubiquitous nature of echoviruses, and of enteroviruses in general, and the ease of person-to-person transmission complicate prevention of echoviral infections. As in other enteroviral infections, good overall public health, including adequate clean and potable water, sanitation, and clean living conditions, can act as deterrents.

No vaccines are available for echovirus infections.