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2012, Number 3

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Enf Infec Microbiol 2012; 32 (3)

Rotavirus gastroenteritis in newborns, report of 12 community acquired cases

Castell REP, Reyes HD, Reyes GU, Reyes HU, Ávila CFJ, López CG, Reyes HKL, Torres RJC, Martínez RA

Language: Spanish
References: 26
Page: 108-113
PDF size: 141.57 Kb.


ABSTRACT

Introduction. Gastroenteritis by rotavirus in infants generally come from key seats rooms of hospitals, but rarely in the community.
Objective. Rotavirus gastroenteritis cases report.
Material and methodos. Prospective, observational study from November 1st, 2008 to August 30, 2011.There were included newborn infants with clinically gastroenteritis and rotavirus positive stool test (rotaquick). Those with other etiologies were excluded.
Results. There were 12 documented cases, average age at diagnosis was 25 days, 8 newborns were exclusively breastfeeding, the median number of vomiting in 24 hours was 5, evacuations 7, cramping 8, all had abdominal distension, 10 had mild dehydration, 2 moderate dehydration, 11 were orally hydrated, 8 patients developed transiently lactose intolerance, 12 patients had successful outcomes. WBC showed bandemia leukocytosis in 4, all had lymphocytosis. Seven patients (66%) had A Rh+ blood group. Eleven showed a pH of 5 and fat + + + to + + + + in the stool. In this group mortality was 0.
Conclusions. Clinical manifestations of rotavirus infection in newborn are different than that in infants. When newborns were breast-feeding the risk of worsening or death was zero. Most cases were blood group A Rh+. Rotavirus may be suspected if the stool sample have fat + + + to + + + + crosses and a pH of 5 or less.


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