Infection with Coxsackie B viruses has insulin-dependent diabetes mell
itus. Nine samples (64%) taken from children at the onset of diabetes
were positive for enterovirus RNA by PCR. All of the children were und
er age six, and five were under age three. By contrast, enterovirus se
quences were detected in only two of 45 serum samples from appropriate
comparison children (4%). Sequences from six of the positive patients
showed strong homology with Coxsachie B3 and B4 viruses, and there we
re some common patterns among the sequences from infected diabetic chi
ldren. This is evidence for a role for enteroviruses in childhood diab
etes.