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Intussusception in a child infected with enterovirus: case report
1Department of Pediatrics, Chang Gung Memorial Hospital, Keelung, Taiwan, R.O.C.
Changgeng Yi Xue Za Zhi
|September 24, 1999
Summary
This study reports the first case of childhood intussusception linked to enterovirus infection. Researchers identified the enterovirus genome in mesenteric lymph nodes, suggesting a potential cause for this condition.
Area of Science:
- Pediatric Surgery
- Virology
- Diagnostic Imaging
Background:
- Childhood intussusception is often idiopathic, but viral infections are suspected contributors.
- Enterovirus infections, like herpangina, are common in children.
Observation:
- A 20-month-old girl with intussusception presented with symptoms following herpangina.
- High-resolution ultrasound revealed enlarged mesenteric lymph nodes in the intussuscipiens.
- Pathologic evaluation confirmed the presence of panenterovirus genome in these lymph nodes via PCR.
Findings:
- This is the first documented case of childhood intussusception associated with enterovirus infection.
- The study provides the first sonographic evaluation of mesenteric lymph node involvement in intussusception.
- Postoperative follow-up showed resolution of mesenteric lymphoid hyperplasia.
Implications:
- This finding suggests a potential etiological link between enterovirus infection and pediatric intussusception.
- Mesenteric lymph node evaluation may be crucial in diagnosing and understanding intussusception.
- Further research is warranted to explore the role of viral infections in intussusception.