Rotavirus, adenovirus, and non-viral enteropathogens in diarrhoea

Arch Dis Child. 1981 Apr;56(4):264-70. doi: 10.1136/adc.56.4.264.

Abstract

The aetiology of rotavirus and adenovirus in acute gastroenteritis was studied in a prospective series that comprised 283 children admitted consecutively with diarrhoea during a 1-year period. Rotavirus was associated in 49% of the cases by solid-phase radioimmunoassay and electron microscopical examination of stool specimens, or by serology. Adenovirus was detected by radioimmunoassay in the stool specimens of 29 (11%) patients, including 8 cases of possible dual infection with rotavirus. Rotavirus infections showed a typical age distribution and seasonal clustering between January and June, whereas the adenovirus-associated cases did not form a distinctive subgroup. Enteropathogenic bacteria were found in 10% of cases, and were nearly as common in association with rotavirus infection as not. Respiratory symptoms accompanied diarrhoea in 34% of the patients with rotavirus and in 25% of those with neither rotavirus nor adenovirus. Therefore we could not confirm the existence of a 'rotavirus syndrome', nor could we confirm an association of respiratory symptoms with rotavirus infection. Use of antibiotics before the onset of diarrhoea was more common among those with non-viral diarrhoea (23%) than in the rotavirus group (13%). Rotavirus infections appeared to be common among cases of 'antibiotic-induced' diarrhoea.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adenoviridae Infections / complications*
  • Adenovirus Infections, Human / complications*
  • Adolescent
  • Age Factors
  • Bacterial Infections / complications
  • Child
  • Child, Preschool
  • Diarrhea / complications
  • Diarrhea / etiology*
  • Humans
  • Infant
  • Infant, Newborn
  • Prospective Studies
  • Radioimmunoassay
  • Reoviridae Infections / complications*
  • Respiratory Tract Infections / complications
  • Rotavirus
  • Seasons