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Related Experiment Videos

Enteroviral hepatitis in children.

Hisashi Kawashima1, Shimizu Ryou, Shigeo Nishimata

  • 1Department of Pediatrics, Tokyo Medical University, Tokyo, Japan.

Pediatrics International : Official Journal of the Japan Pediatric Society
|April 2, 2004
PubMed
Summary

Enteroviruses were identified as the cause of hepatitis in over half of children with unknown illnesses. Reverse transcriptase-polymerase chain reaction (RT-PCR) of serum is an effective diagnostic method for enteroviral diseases.

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Area of Science:

  • Virology
  • Hepatology
  • Pediatrics

Background:

  • Enteroviral hepatitis diagnosis is challenging due to difficulties in pathogen detection.
  • Cytomegalovirus (CMV) coinfection can complicate diagnosis.

Purpose of the Study:

  • To investigate the role of enteroviruses in pediatric hepatitis of unknown etiology.
  • To evaluate the utility of RT-PCR for enterovirus detection in serum and liver tissue.

Main Methods:

  • RT-PCR was used to detect enterovirus RNA in serum and liver samples.
  • Gene homology search identified specific enterovirus strains (Coxsackie B5/B6).
  • Liver pathology and viral load quantification were assessed.

Main Results:

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  • Enterovirus RNA was detected in 9/21 serum samples (43%) and 3/3 liver tissue samples.
  • CMV-seropositive cases were negative for enterovirus.
  • Nine of 16 cases (56%) remained of unknown etiology after enterovirus testing.
  • Mild fibrosis and inflammation were observed in liver biopsies.
  • Viral load decreased during convalescence.
  • Conclusions:

    • Enteroviruses are a significant cause of pediatric hepatitis with unknown etiology.
    • RT-PCR is a valuable tool for diagnosing enteroviral infections.
    • Serum enterovirus quantification aids in disease identification.