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Rotavirus infection in adults
Evan J Anderson1, Stephen G Weber
1Division of Infectious Diseases, Northwestern Memorial Hospital and Children's Memorial Hospital, Chicago, IL, USA.
The Lancet. Infectious Diseases
|February 12, 2004
Summary
Rotavirus, a common cause of gastroenteritis in children, is often underappreciated in adults. This review highlights rotavirus in adults, covering its symptoms, transmission, and clinical management.
Area of Science:
- Virology
- Infectious Diseases
- Public Health
Background:
- Rotavirus is a leading cause of gastroenteritis in infants and young children globally.
- Its significance as a pathogen in adult populations has been historically underestimated.
- Adult rotavirus infections can range from asymptomatic to severe, particularly in immunocompromised individuals.
Purpose of the Study:
- To increase clinician awareness of rotavirus as a cause of gastroenteritis in adults.
- To provide a comprehensive overview of rotavirus pathophysiology, clinical presentation, and epidemiology in adults.
- To discuss current diagnostic and therapeutic approaches, emphasizing supportive care.
Main Methods:
- This review synthesizes existing literature on rotavirus in adult populations.
- Information was gathered on clinical manifestations, transmission routes, and epidemiological patterns.
- Current management strategies and prevention methods were evaluated.
Main Results:
- Rotavirus infection in adults presents with symptoms like nausea, diarrhea, fever, and abdominal cramping, or can be asymptomatic.
- Transmission occurs via the fecal-oral route, with common settings including endemic disease, outbreaks, and travel.
- Limited specific diagnostic tools and treatments are available for adult rotavirus cases, with supportive care being the mainstay.
Conclusions:
- Clinicians should include rotavirus in the differential diagnosis for adults presenting with gastroenteritis.
- Understanding the epidemiology and clinical spectrum of rotavirus in adults is crucial for appropriate management.
- Further research into diagnostics and targeted therapies for adult rotavirus infections may be warranted.