Norovirus Infection as a Cause of Diarrhea-Associated Benign Infantile Seizures
Background. Norovirus and rotavirus cause outbreaks of diarrheal disease worldwide. This prospective observational study was undertaken to investigate the clinical characteristics and complications, with a focus on convulsive disorders, of gastroenteritis caused by norovirus and rotavirus in hospita...
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| Veröffentlicht in: | Clinical infectious diseases 2009-04, Vol.48 (7), p.849-855 |
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| description | Background. Norovirus and rotavirus cause outbreaks of diarrheal disease worldwide. This prospective observational study was undertaken to investigate the clinical characteristics and complications, with a focus on convulsive disorders, of gastroenteritis caused by norovirus and rotavirus in hospitalized pediatric patients in northern Taiwan. Methods. Children hospitalized with acute gastroenteritis in Chang Gung Children's Hospital from August 2004 through January 2007 were enrolled in the study. Rotavirus and norovirus were detected by reverse-transcriptase polymerase chain reaction with fecal specimens and were genotyped by sequence analysis. The symptoms and complications, in particular convulsions, of acute gastroenteritis caused by rotavirus and norovirus were reviewed and compared. The occurrence of convulsions associated with norovirus infection was specifically analyzed and discussed. The neurological outcomes for all norovirus-infected patients with or without convulsions were followed up for 1 year. Results. Among the 353 patients with acute viral gastroenteritis without coinfection, rotavirus and norovirus isolates were detected in 101 patients (28.6%) and 64 patients (18.1%), respectively. We compared the symptoms between the 2 groups and found that rotavirus caused a higher frequency and longer duration of vomiting and a higher body temperature than did norovirus. Norovirus infection, on the other hand, caused significantly longer hospital stays (mean duration of stay [interquartile range], 6 [5–8] days vs. 5 [4–7] days; P |
| doi_str_mv | 10.1086/597256 |
| format | Article |
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Norovirus and rotavirus cause outbreaks of diarrheal disease worldwide. This prospective observational study was undertaken to investigate the clinical characteristics and complications, with a focus on convulsive disorders, of gastroenteritis caused by norovirus and rotavirus in hospitalized pediatric patients in northern Taiwan. Methods. Children hospitalized with acute gastroenteritis in Chang Gung Children's Hospital from August 2004 through January 2007 were enrolled in the study. Rotavirus and norovirus were detected by reverse-transcriptase polymerase chain reaction with fecal specimens and were genotyped by sequence analysis. The symptoms and complications, in particular convulsions, of acute gastroenteritis caused by rotavirus and norovirus were reviewed and compared. The occurrence of convulsions associated with norovirus infection was specifically analyzed and discussed. The neurological outcomes for all norovirus-infected patients with or without convulsions were followed up for 1 year. Results. Among the 353 patients with acute viral gastroenteritis without coinfection, rotavirus and norovirus isolates were detected in 101 patients (28.6%) and 64 patients (18.1%), respectively. We compared the symptoms between the 2 groups and found that rotavirus caused a higher frequency and longer duration of vomiting and a higher body temperature than did norovirus. Norovirus infection, on the other hand, caused significantly longer hospital stays (mean duration of stay [interquartile range], 6 [5–8] days vs. 5 [4–7] days; P<.001) and a significantly higher incidence of convulsions than did rotavirus infection (29.7% vs. 5%; P<.001). Three of the 19 patients with convulsions showed an abnormal record on electroencephalogram, but none had any neurological sequelae at the subsequent 1-year follow-up. The majority of norovirus strains (41 of the 56 genotypeable strains) belonged to genogroup GGII/4. Conclusions. Norovirus is a major cause of acute gastroenteritis in children. This study identified norovirus as an emerging agent causing convulsive disorder in children, particularly in young infants. Long-term neurological sequelae are uncommon.</description><identifier>ISSN: 1058-4838</identifier><identifier>EISSN: 1537-6591</identifier><identifier>DOI: 10.1086/597256</identifier><identifier>PMID: 19239351</identifier><identifier>CODEN: CIDIEL</identifier><language>eng</language><publisher>Oxford: The University of Chicago Press</publisher><subject>Adolescent ; Articles and Commentaries ; Biological and medical sciences ; Caliciviridae Infections - complications ; Caliciviridae Infections - virology ; Child ; Child health services ; Child, Preschool ; Children ; Children & youth ; Convulsions ; Diarrhea ; Feces - virology ; Female ; Fever - etiology ; Gastroenteritis ; Gastroenteritis - complications ; Gastroenteritis - virology ; Gastroenterology ; Genotype ; Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy ; Hospitals ; Humans ; Infant ; Infections ; Infectious diseases ; Length of Stay ; Male ; Medical sciences ; Nervous system (semeiology, syndromes) ; Neurology ; Norovirus ; Norovirus - isolation & purification ; Pediatrics ; Reverse Transcriptase Polymerase Chain Reaction - methods ; RNA, Viral - genetics ; Rotavirus ; Rotavirus - isolation & purification ; Rotavirus infections ; Rotavirus Infections - complications ; Rotavirus Infections - virology ; Seizures ; Seizures - etiology ; Sequence Analysis, DNA ; Studies ; Taiwan ; Viruses ; Vomiting - etiology</subject><ispartof>Clinical infectious diseases, 2009-04, Vol.48 (7), p.849-855</ispartof><rights>Copyright 2008 Infectious Diseases Society of America</rights><rights>2009 by the Infectious Diseases Society of America 2009</rights><rights>2009 INIST-CNRS</rights><rights>Copyright University of Chicago, acting through its Press Apr 1, 2009</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c550t-f36c1e0f8788e15bb9f40dbc63cc5424ee707f9bf97b5c5b588057b657970ceb3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/40308989$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/40308989$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>315,782,786,805,27931,27932,58024,58257</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=21309794$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19239351$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chen, Shih-Yen</creatorcontrib><creatorcontrib>Tsai, Chi-Neu</creatorcontrib><creatorcontrib>Lai, Ming-Wei</creatorcontrib><creatorcontrib>Chen, Chih-Yen</creatorcontrib><creatorcontrib>Lin, Kuang-Lin</creatorcontrib><creatorcontrib>Lin, Tzou-Yien</creatorcontrib><creatorcontrib>Chiu, Cheng-Hsun</creatorcontrib><title>Norovirus Infection as a Cause of Diarrhea-Associated Benign Infantile Seizures</title><title>Clinical infectious diseases</title><addtitle>Clinical Infectious Diseases</addtitle><addtitle>Clinical Infectious Diseases</addtitle><description>Background. Norovirus and rotavirus cause outbreaks of diarrheal disease worldwide. This prospective observational study was undertaken to investigate the clinical characteristics and complications, with a focus on convulsive disorders, of gastroenteritis caused by norovirus and rotavirus in hospitalized pediatric patients in northern Taiwan. Methods. Children hospitalized with acute gastroenteritis in Chang Gung Children's Hospital from August 2004 through January 2007 were enrolled in the study. Rotavirus and norovirus were detected by reverse-transcriptase polymerase chain reaction with fecal specimens and were genotyped by sequence analysis. The symptoms and complications, in particular convulsions, of acute gastroenteritis caused by rotavirus and norovirus were reviewed and compared. The occurrence of convulsions associated with norovirus infection was specifically analyzed and discussed. The neurological outcomes for all norovirus-infected patients with or without convulsions were followed up for 1 year. Results. Among the 353 patients with acute viral gastroenteritis without coinfection, rotavirus and norovirus isolates were detected in 101 patients (28.6%) and 64 patients (18.1%), respectively. We compared the symptoms between the 2 groups and found that rotavirus caused a higher frequency and longer duration of vomiting and a higher body temperature than did norovirus. Norovirus infection, on the other hand, caused significantly longer hospital stays (mean duration of stay [interquartile range], 6 [5–8] days vs. 5 [4–7] days; P<.001) and a significantly higher incidence of convulsions than did rotavirus infection (29.7% vs. 5%; P<.001). Three of the 19 patients with convulsions showed an abnormal record on electroencephalogram, but none had any neurological sequelae at the subsequent 1-year follow-up. The majority of norovirus strains (41 of the 56 genotypeable strains) belonged to genogroup GGII/4. Conclusions. Norovirus is a major cause of acute gastroenteritis in children. This study identified norovirus as an emerging agent causing convulsive disorder in children, particularly in young infants. Long-term neurological sequelae are uncommon.</description><subject>Adolescent</subject><subject>Articles and Commentaries</subject><subject>Biological and medical sciences</subject><subject>Caliciviridae Infections - complications</subject><subject>Caliciviridae Infections - virology</subject><subject>Child</subject><subject>Child health services</subject><subject>Child, Preschool</subject><subject>Children</subject><subject>Children & youth</subject><subject>Convulsions</subject><subject>Diarrhea</subject><subject>Feces - virology</subject><subject>Female</subject><subject>Fever - etiology</subject><subject>Gastroenteritis</subject><subject>Gastroenteritis - complications</subject><subject>Gastroenteritis - virology</subject><subject>Gastroenterology</subject><subject>Genotype</subject><subject>Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Infant</subject><subject>Infections</subject><subject>Infectious diseases</subject><subject>Length of Stay</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Nervous system (semeiology, syndromes)</subject><subject>Neurology</subject><subject>Norovirus</subject><subject>Norovirus - isolation & purification</subject><subject>Pediatrics</subject><subject>Reverse Transcriptase Polymerase Chain Reaction - methods</subject><subject>RNA, Viral - genetics</subject><subject>Rotavirus</subject><subject>Rotavirus - isolation & purification</subject><subject>Rotavirus infections</subject><subject>Rotavirus Infections - complications</subject><subject>Rotavirus Infections - virology</subject><subject>Seizures</subject><subject>Seizures - etiology</subject><subject>Sequence Analysis, DNA</subject><subject>Studies</subject><subject>Taiwan</subject><subject>Viruses</subject><subject>Vomiting - etiology</subject><issn>1058-4838</issn><issn>1537-6591</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp90V1rFDEUBuBBFFur_gNlFNSr0XzMycdlXXW3UNqLVhBvQiZ7ollnJ2syI-qvN2WWLQh6lcD75OQkp6oeU_KaEiXegJYMxJ3qmAKXjQBN75Y9AdW0iquj6kHOG0IoVQTuV0dUM6450OPq8iKm-COkKddng0c3hjjUNte2XtgpYx19_S7YlL6ibU5zji7YEdf1WxzCl-HmiB3G0GN9heH3lDA_rO5522d8tF9Pqo8f3l8vVs355fJscXreOAAyNp4LR5F4JZVCCl2nfUvWnRPcOWhZiyiJ9LrzWnbgoANVGpedAKklcdjxk-rVXHeX4vcJ82i2ITvseztgnLKRALRlTLAiX_5XCqF1y5Qo8PlfcBOnNJRXGEa1BiWouq3mUsw5oTe7FLY2_TKUmJtJmHkSBT7dV5u6La5v2f7rC3ixBzY72_tkBxfywTHKiZa6Le7Z7OK0-_dlT2azyWNMB9USTpRWuuTNnIc84s9DbtM3IySXYFafPpsrslwtGbk2F_wPVnWwqw</recordid><startdate>20090401</startdate><enddate>20090401</enddate><creator>Chen, Shih-Yen</creator><creator>Tsai, Chi-Neu</creator><creator>Lai, Ming-Wei</creator><creator>Chen, Chih-Yen</creator><creator>Lin, Kuang-Lin</creator><creator>Lin, Tzou-Yien</creator><creator>Chiu, Cheng-Hsun</creator><general>The University of Chicago Press</general><general>University of Chicago Press</general><general>Oxford University Press</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QL</scope><scope>7T2</scope><scope>7T7</scope><scope>7U7</scope><scope>7U9</scope><scope>8FD</scope><scope>C1K</scope><scope>FR3</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>20090401</creationdate><title>Norovirus Infection as a Cause of Diarrhea-Associated Benign Infantile Seizures</title><author>Chen, Shih-Yen ; Tsai, Chi-Neu ; Lai, Ming-Wei ; Chen, Chih-Yen ; Lin, Kuang-Lin ; Lin, Tzou-Yien ; Chiu, Cheng-Hsun</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c550t-f36c1e0f8788e15bb9f40dbc63cc5424ee707f9bf97b5c5b588057b657970ceb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adolescent</topic><topic>Articles and Commentaries</topic><topic>Biological and medical sciences</topic><topic>Caliciviridae Infections - complications</topic><topic>Caliciviridae Infections - virology</topic><topic>Child</topic><topic>Child health services</topic><topic>Child, Preschool</topic><topic>Children</topic><topic>Children & youth</topic><topic>Convulsions</topic><topic>Diarrhea</topic><topic>Feces - virology</topic><topic>Female</topic><topic>Fever - etiology</topic><topic>Gastroenteritis</topic><topic>Gastroenteritis - complications</topic><topic>Gastroenteritis - virology</topic><topic>Gastroenterology</topic><topic>Genotype</topic><topic>Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Infant</topic><topic>Infections</topic><topic>Infectious diseases</topic><topic>Length of Stay</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Nervous system (semeiology, syndromes)</topic><topic>Neurology</topic><topic>Norovirus</topic><topic>Norovirus - isolation & purification</topic><topic>Pediatrics</topic><topic>Reverse Transcriptase Polymerase Chain Reaction - methods</topic><topic>RNA, Viral - genetics</topic><topic>Rotavirus</topic><topic>Rotavirus - isolation & purification</topic><topic>Rotavirus infections</topic><topic>Rotavirus Infections - complications</topic><topic>Rotavirus Infections - virology</topic><topic>Seizures</topic><topic>Seizures - etiology</topic><topic>Sequence Analysis, DNA</topic><topic>Studies</topic><topic>Taiwan</topic><topic>Viruses</topic><topic>Vomiting - etiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chen, Shih-Yen</creatorcontrib><creatorcontrib>Tsai, Chi-Neu</creatorcontrib><creatorcontrib>Lai, Ming-Wei</creatorcontrib><creatorcontrib>Chen, Chih-Yen</creatorcontrib><creatorcontrib>Lin, Kuang-Lin</creatorcontrib><creatorcontrib>Lin, Tzou-Yien</creatorcontrib><creatorcontrib>Chiu, Cheng-Hsun</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Toxicology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Technology Research Database</collection><collection>Environmental Sciences and Pollution Management</collection><collection>Engineering Research Database</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical infectious diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chen, Shih-Yen</au><au>Tsai, Chi-Neu</au><au>Lai, Ming-Wei</au><au>Chen, Chih-Yen</au><au>Lin, Kuang-Lin</au><au>Lin, Tzou-Yien</au><au>Chiu, Cheng-Hsun</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Norovirus Infection as a Cause of Diarrhea-Associated Benign Infantile Seizures</atitle><jtitle>Clinical infectious diseases</jtitle><stitle>Clinical Infectious Diseases</stitle><addtitle>Clinical Infectious Diseases</addtitle><date>2009-04-01</date><risdate>2009</risdate><volume>48</volume><issue>7</issue><spage>849</spage><epage>855</epage><pages>849-855</pages><issn>1058-4838</issn><eissn>1537-6591</eissn><coden>CIDIEL</coden><abstract>Background. Norovirus and rotavirus cause outbreaks of diarrheal disease worldwide. This prospective observational study was undertaken to investigate the clinical characteristics and complications, with a focus on convulsive disorders, of gastroenteritis caused by norovirus and rotavirus in hospitalized pediatric patients in northern Taiwan. Methods. Children hospitalized with acute gastroenteritis in Chang Gung Children's Hospital from August 2004 through January 2007 were enrolled in the study. Rotavirus and norovirus were detected by reverse-transcriptase polymerase chain reaction with fecal specimens and were genotyped by sequence analysis. The symptoms and complications, in particular convulsions, of acute gastroenteritis caused by rotavirus and norovirus were reviewed and compared. The occurrence of convulsions associated with norovirus infection was specifically analyzed and discussed. The neurological outcomes for all norovirus-infected patients with or without convulsions were followed up for 1 year. Results. Among the 353 patients with acute viral gastroenteritis without coinfection, rotavirus and norovirus isolates were detected in 101 patients (28.6%) and 64 patients (18.1%), respectively. We compared the symptoms between the 2 groups and found that rotavirus caused a higher frequency and longer duration of vomiting and a higher body temperature than did norovirus. Norovirus infection, on the other hand, caused significantly longer hospital stays (mean duration of stay [interquartile range], 6 [5–8] days vs. 5 [4–7] days; P<.001) and a significantly higher incidence of convulsions than did rotavirus infection (29.7% vs. 5%; P<.001). Three of the 19 patients with convulsions showed an abnormal record on electroencephalogram, but none had any neurological sequelae at the subsequent 1-year follow-up. The majority of norovirus strains (41 of the 56 genotypeable strains) belonged to genogroup GGII/4. Conclusions. Norovirus is a major cause of acute gastroenteritis in children. This study identified norovirus as an emerging agent causing convulsive disorder in children, particularly in young infants. Long-term neurological sequelae are uncommon.</abstract><cop>Oxford</cop><pub>The University of Chicago Press</pub><pmid>19239351</pmid><doi>10.1086/597256</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Articles and Commentaries Biological and medical sciences Caliciviridae Infections - complications Caliciviridae Infections - virology Child Child health services Child, Preschool Children Children & youth Convulsions Diarrhea Feces - virology Female Fever - etiology Gastroenteritis Gastroenteritis - complications Gastroenteritis - virology Gastroenterology Genotype Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy Hospitals Humans Infant Infections Infectious diseases Length of Stay Male Medical sciences Nervous system (semeiology, syndromes) Neurology Norovirus Norovirus - isolation & purification Pediatrics Reverse Transcriptase Polymerase Chain Reaction - methods RNA, Viral - genetics Rotavirus Rotavirus - isolation & purification Rotavirus infections Rotavirus Infections - complications Rotavirus Infections - virology Seizures Seizures - etiology Sequence Analysis, DNA Studies Taiwan Viruses Vomiting - etiology |
| title | Norovirus Infection as a Cause of Diarrhea-Associated Benign Infantile Seizures |
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