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When an increasing prevalence of upper respiratory infections was detected in Gothenburg, Sweden, it was determined that such types of EV were more likely to cause severe disease in 2016. The EV strain in 137 of 1341 nasopharyngeal samples sensitive for EV by polymerase chain reaction can be identified by sequencing the viral 5's region and VP1 regions. Patients with EV-D68 disease were particularly vulnerable when compared to other EV types and RV infections, respectively. The sequences revealed the transmission of both Asian and European CVA10 strains and 12 distinct RVC varieties, according to a phylogenetic review of the sequences. During a year of elevated upper respiratory infections in children, this study revealed a variety of EV types spreading during a year of increasing upper respiratory elevated infections.
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