Back
 AID  Vol.4 No.2 , June 2014
Ascites as a Symptom of a Rotavirus Infection—Case Report
Abstract: Rotaviruses (RV) are the most common cause of acute diarrhoea in children. The course of RV in-fections may vary from a mild to a serious course of diarrhoea with significant disturbances to the water-electrolyte and acid-base homeostasis and complications requiring hospitalisation. There are known cases of postinfectious enteropathy and severe cases may involve a complete villous atrophy and temporary intolerance to lactose in the course of rotavirus infection. Opinions on the changes in the permeability of the mucous of the small intestine in the result of ongoing inflammation are largely diverse. This study presents a very rare complication of a rotavirus infection which is ascites in a 3-month infant. It seems that the pathomechanism of ascites in presented patient is very complex and affected by other factors such as nutritional disorders, including hypoproteinemia and hypoalbuminemia and immunological factors.
Cite this paper: Wiecek, S. , Grzybowska-Chlebowczyk, U. and Wos, H. (2014) Ascites as a Symptom of a Rotavirus Infection—Case Report. Advances in Infectious Diseases, 4, 73-76. doi: 10.4236/aid.2014.42012.
References

[1]   Bruijning-Verhagen, P., Sankatsing, V., Kunst, A., et al. (2012) Rotavirus-Related Hospitalizations Are Responsible for High Seasonal Peaks in All-Cause Pediatric Hospitalizations. Pediatric Infectious Disease Journal, 31, 244-249. http://dx.doi.org/10.1097/INF.0b013e31826a5ba1

[2]   Desai, R., Esposito, D., Lees, C., Goodin, K., et al. (2011) Rotawirus-Coded Deaths in Children United States 1999-2007. Pediatric Infectious Disease Journal, 30, 986-988.
http://dx.doi.org/10.1097/INF.0b013e318220fe20

[3]   Hagbom, M., Sharma, S., Lundgren, O. and Svensson, L. (2012) Towards a Human Rotavirus Disease Model. Current Opinion in Virology, 2, 408-418. http://dx.doi.org/10.1016/j.coviro.2012.05.006

[4]   Kacerka, A., Wojcik, K., Kuydowicz, J., et al. (2009) An Evaluation of the Relationship between Rotavirus Diarrhoea and Bacterial Infection and Acute Hepatitis in Children. Polish Gastroenterology, 16, 446-448.

[5]   Kawashima, H., Ishii, H., Ioi, H., et al. (2012) Transaminase in Rotavirus Gastroenteritis. Pediatrics International, 54, 86-88. http://dx.doi.org/10.1111/j.1442-200X.2011.03532.x

[6]   Wiecek, S., Grzybowska-Chlebowczyk, U., Stawicka-Ociepka, E. and Wos, H. (2011)
Hipertransaminazemia w przebiegu ostrej biegunki u dzieci. Forum Medycyny Rodzinnej, 6, 491-498.

[7]   De Villiers, F.P. and Driessen, M. (2012) Clinical Neonatal Rotavirus Infection: Association with Necrotizing Entero-colitis. South African Medical Journal, 6, 620-624.

[8]   Tan, R., Lee, J., Biswas, A. and Amuntha, C. (2014) Ascites Anemia and Intestinal Atresia. Journal of Perinatology, 34, 78-80. http://dx.doi.org/10.1038/jp.2013.124

[9]   Mouavas, V., Dede, O., et al. (2012) Diagnosis and Management of Congenital Neonatal Chylous Ascites. Hippokratia, 16, 175-180.

[10]   Liu, L., Liang, X., Huang, H. and Jia, L. (2013) Clinical Features of Eosinophilic Gastroenteritis with Ascites. Zeitschrift fur Gastroenterologie, 51, 638-642. http://dx.doi.org/10.1038/jp.2013.124

[11]   Rostami-Nejad, M., Rostami, K., Sanaei, M., et al. (2010) Rotavirus and Coeliac Autoimmunity among Adults with Non-Specific Gastrointestinal Symptoms. Saudi Medical Journal, 3, 891-894.

[12]   Volta, U. (2009) Pathogenesis and Clinical Significance of Liver Injure in Celiac Disease. Clinical Reviews in Allergy and Immunology, 36, 62-70.

[13]   Chen, C., Lin, M., Wu, E., Lu, L., et al. (2005) Clinical Manifestations and Outcomes of Constrictive Pericarditis in Children. Journal of the Formosan Medical Association, 104, 402-407.

[14]   Cochran, W., Klish, W., Brown, M., Lyons, J. and Curtis, T. (1985) Chylous Ascites in Infants and Children: A Case Report and Literature Review. Journal of Pediatric Gastroenterology and Nutrition, 4, 668-673. http://dx.doi.org/10.1097/00005176-198508000-00031

[15]   Codurache, C., Johnsrude, C., Bryant, K. and Recto, M. (2008) Ascites Secondary to Indolent Pacemaker Infection in a Fontan Patient. Texas Heart Institute Journal, 35, 342-344.

[16]   Gamarra, Y., Nova, M. and Herrera, A. (2011) Eosinophilic Gastroenteritis with Ascites: Clinical Case Report. Rev.Gastroenterol.Peru, 31, 173-177.

 
 
Top