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Rotavirus-induced seizures in childhood
Marc P DiFazio1, Loranee Braun, Scott Freedman
1Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA. mddifazio@aol.com
Insights
Rotavirus infection can cause central nervous system problems in children, including seizures and encephalopathy. This study highlights these neurological issues and suggests management strategies for affected children.
Area of Science:
- Pediatrics
- Infectious Diseases
- Neurology
Background:
- Rotavirus is a common cause of gastroenteritis in children globally.
- Rotavirus infection is linked to significant childhood morbidity and mortality, particularly in developing nations.
- Central nervous system (CNS) dysfunction is an underrecognized complication of rotavirus infection.
Observation:
- Rotavirus-induced CNS dysfunction can manifest in various ways, including seizures, encephalopathy, and even death.
- Some children present with short, afebrile convulsions as the sole indicator of rotavirus encephalopathy.
- Four additional cases of rotavirus-induced seizures with mild neurological symptoms are presented.
Findings:
- Rotavirus infection is associated with a spectrum of neurological complications in children.
- Seizures can be a primary manifestation of rotavirus encephalopathy, sometimes without fever.
- Mild neurological symptoms can accompany rotavirus-related seizures.
Implications:
- Increased awareness of rotavirus's potential neurological impact is crucial for early diagnosis and intervention.
- Prompt recognition of rotavirus-induced seizures can lead to timely management and potentially better outcomes.
- Further research into the mechanisms and optimal treatment of rotavirus encephalopathy is warranted.
Abstract:
Rotavirus infection is a frequent cause of gastroenteritis in children and accounts for significant morbidity and mortality, especially in the developing world. Less well recognized is the association of rotavirus-induced central nervous system dysfunction, which has been associated with seizure, encephalopathy, and death. Symptoms may vary widely, however, and children can experience short afebrile convulsions as the only manifestation of rotavirus encephalopathy. We report 4 further cases of rotavirus-induced seizures with mild neurologic manifestations. The condition is reviewed and practical management strategies are suggested.
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