@article{midgley_co-circulation_2020,
 abstract = {Enterovirus D68 (EV-D68) was detected in 93 patients from five European countries between 1 January 2019 and 15 January 2020, a season with expected low circulation. Patients were primarily children (n = 67, median age: 4 years), 59 patients required hospitalisation and five had severe neurologic manifestations. Phylogenetic analysis revealed two clusters in the B3 subclade and subclade A2/D. This circulation of EV-D68 associated with neurological manifestations stresses the importance of surveillance and diagnostics beyond expected peak years.},
 area = {virus_evolution},
 author = {Midgley, Sofie Elisabeth and Benschop, Kimberley and Dyrdak, Robert and Mirand, Audrey and Bailly, Jean-Luc and Bierbaum, Sibylle and Buderus, Stefan and Böttcher, Sindy and Eis-Hübinger, Anna-Maria and Hönemann, Mario and Jensen, Veronika Vorobieva and Hartling, Ulla Birgitte and Henquell, Cécile and Panning, Marcus and Thomsen, Marianne Kragh and Hodcroft, Emma B. and Meijer, Adam},
 date = {2020-01-16},
 doi = {10.2807/1560-7917.ES.2020.25.2.1900749},
 issn = {1560-7917},
 journal = {Eurosurveillance},
 language = {en},
 month = {January},
 number = {2},
 pages = {1900749},
 pdf = {midgley_co-circulation_2020.pdf},
 title = {Co-circulation of multiple enterovirus {D}68 subclades, including a novel {B}3 cluster, across {Europe} in a season of expected low prevalence, 2019/20},
 url = {https://www.eurosurveillance.org/content/10.2807/1560-7917.ES.2020.25.2.1900749},
 urldate = {2020-01-16},
 volume = {25},
 year = {2020}
}
