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Table 2 Occurrence time of the top 50 symptoms/signs (exceped the prodromal symptoms) in 288 patients after EV-A71 infection and CNS involvement

From: Clinical manifestations of severe enterovirus 71 infection and early assessment in a Southern China population

Symptoms/signs

n

Median

Min

Max

Mean

SD

Startled

211

30

0

84

30.0

23.0

Myoclonic jerks/tremors

162

36

0

96

33.3

23.0

Fatigue/sleepiness

115

48

0

136

44.0

26.5

Vomiting

74

30

0

96

35.0

25.2

Anxiety

39

36

0

136

40.1

31.1

Persistent hyperpyrexiaa

28

36

0

96

40.2

27.4

Poor peripheral perfusionb

28

48

18

114

53.4

26.1

CRTc extension

27

48

18

114

52.9

25.4

Somnolence

25

48

6

120

57.4

27.3

Clammy skin

25

48

18

114

52.4

26.1

NPE/pneumorrhagiad

23

72

24

120

62.9

28.6

Abnormal respiratory rhythm

19

48

24

120

60.1

27.9

Hydrostomia

18

24

6

54

27.3

16.8

Dysphoria

17

42

0

96

44.2

23.1

Tachypnea

16

48

6

120

49.1

27.7

Nystagmus

16

48

18

99

51.8

28.5

Arrhythmias

15

48

12

144

57.8

38.8

Frights

14

48

0

72

45.7

22.1

Pale skin

13

42

18

96

50.9

25.8

Tachycardia

12

47.5

24

120

49.6

26.3

Mottled skin

12

53.75

18

106

53.5

26.6

Acute lower extremity flaccid paralysis

12

54

0

125

55.6

37.8

Seizures

10

24

0

96

31.7

26.9

Eyeball ataxia

10

54

24

99

57.6

31.7

Moderate coma

9

68

27

106

58.9

25.9

Refractory shock

9

72

30

93

59.9

23.7

Autokinetic eyeball

8

45

18

72

43.8

18.3

Dysphagia

8

60

12

68

51.3

18.4

Decreased or absent pharyngeal reflex

8

66

12

120

63.9

34.7

Nuchal rigidity

8

59.5

24

130

66.5

37.0

Hyperventilation

8

48

12

120

57.5

35.1

Hypertension

7

48

24

83

53.0

23.6

Excessive tachycardia

7

62

26

88

58.1

23.2

Mild coma

7

36

24

96

49.7

27.0

Knee hyporeflexia

7

54

36

72

55.1

12.5

Death

7

77

32

105

63.4

29.6

Severe coma

6

73.5

30

75

59.3

22.7

Ataxic respiration

6

63.5

26

78

57.8

20.9

Bradycardia

6

74

48

96

76.7

18.0

Ultrahyperpyrexia

5

47

26

76

47.4

21.3

Neck weakness

5

48

24

72

48.0

24.0

Acute upper extremity flaccid paralysis

5

72

47

125

72.8

31.7

Acute extremities flaccid paralysis

5

72

48

120

72.0

29.4

Abnormal PLR

5

72

32

79

65.8

19.1

Hypomyotonia

5

47

0

125

53.6

48.0

Headache

4

24

6

72

31.5

28.7

Mydriasis

4

76.5

36

79

67.0

20.7

Frequent vomiting

3

24

12

64

33.3

27.2

Apneustic breathing

3

29

24

99

50.7

41.9

Ultrahypertension

3

75

72

82

76.3

5.1

  1. SD standard deviation
  2. acontinuous high fever >2 h with treatment
  3. bCRT extension, pale skin, piebald skin, limb coldness
  4. ccapillary refill time
  5. dneurogenic pulmonary edema and hemorrhage