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Viral causes of diarrhea
1Division of Gastroenterology, Department of Medicine, Baylor College of Medicine, Houston, Texas, USA. goodgame@bcm.tmc.edu
Gastroenterology Clinics of North America
|October 6, 2001
Summary
Caliciviruses are the most common cause of viral gastroenteritis epidemics in adults. Further research is needed to determine the role of other viruses like rotavirus in non-epidemic cases.
Area of Science:
- Gastroenterology
- Virology
- Infectious Diseases
Background:
- Viruses are significant contributors to diarrheal illnesses.
- In healthy adults, viral infections typically manifest as acute, self-limiting gastroenteritis.
- Molecular diagnostics have identified caliciviruses as frequent culprits in gastroenteritis outbreaks, often transmitted via contaminated food or person-to-person contact.
Purpose of the Study:
- To investigate the role of candidate viruses, including rotavirus, astrovirus, and adenovirus, in non-epidemic acute gastroenteritis among adults.
- To highlight the need for advanced diagnostic technologies to accurately assess viral causes of adult gastroenteritis.
Main Methods:
- Review of existing literature on viral gastroenteritis.
- Analysis of diagnostic advancements in identifying viral pathogens.
- Discussion of clinical presentations and transmission routes of various enteric viruses.
Main Results:
- Caliciviruses are identified as the primary cause of acute gastroenteritis epidemics in adults.
- The causative agents of acute infantile gastroenteritis include rotavirus, calcivirus, astrovirus, and adenovirus.
- Cytomegalovirus (CMV) and Epstein-Barr virus (EBV) can cause acute colitis in adults, particularly in immunocompromised individuals.
Conclusions:
- Further application of molecular diagnostic technologies is essential to definitively establish the role of viruses like rotavirus, astrovirus, and adenovirus in nonepidemic adult gastroenteritis.
- While CMV and EBV primarily affect immunocompromised patients, they can cause diarrhea in adults.
- Viral gut infections in infants are common, while in adults, they are considered routine or rare clinical issues.
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