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adenovirus type 21-associated acute flaccid paralysis during an outbreak of hand-foot-and-mouth disease in sarawak, malaysia.we report the virological and clinical features of 8 children who presented with adenovirus-associated acute flaccid paralysis (afp) during an epidemic of enterovirus type 71 (ev71)-associated hand-foot-and-mouth disease (hfmd) in sarawak, malaysia, in 1997. neutralization tests and phylogenetic analysis revealed adenovirus type 21 (ad21), although dna restriction digests suggested that this virus was different from the prototype ad21. four children had upper-limb monoparesis, 2 had lower-limb m ...200312594634
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