“…Viraemia enables a virus to reach secondary replication sites (34,35), and while it lasts, leukocytes can act as an additional reservoir of the virus, thereby playing a significant role in the pathogenesis of enterovirus infections, particularly chronic ones (35). The literature data confirm the ability of human enteroviruses to productively infect various types of human immune cells, both T and B lymphocytes, and dendritic cells, monocytes or granulocytes (8,9,12,17,18,26,34,39). Infection of immune cells with enteroviruses usually results in increased synthesis of numerous cytokines and chemokines by cells (6,9,12,37,39); from the clinical point of view, the most important of these are the proinflammatory cytokines interleukin 1β (IL-1β), interleukin 6 (IL-6) and tumour necrosis factor α (TNF-α), which sustain the inflammatory process and can contribute to the damage of tissues or even the development of immune-mediated chronic diseases (34).…”