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Role of astrovirus in intussusception in Nigerian infants
1Department of Microbiology, Ahmadu Bello University, Zaria, Nigeria. maryamaminu@yahoo.com
Insights
Astrovirus was detected in infant intussusception (IS) cases. Further research is needed to understand astrovirus
Area of Science:
- Pediatrics
- Virology
- Gastroenterology
Background:
- Intussusception (IS) is a critical intestinal obstruction.
- Viral infections are implicated in 20-50% of childhood IS cases.
- Commonly implicated viruses include adenovirus and enterovirus.
Purpose of the Study:
- To investigate the presence of rotavirus, astrovirus, and adenovirus in infants with IS.
- To determine the role of astrovirus in infant intussusception.
Main Methods:
- Enzyme immune assay (EIA) for antigen detection.
- Reverse transcription-polymerase chain reaction (RT-PCR) for confirmation.
- Analysis of six infant stool specimens (0-8 months old).
Main Results:
- Astrovirus antigen detected in 3 of 6 specimens via EIA.
- Astrovirus confirmed in 2 specimens via RT-PCR.
- Mixed infections (rotavirus, adenovirus, astrovirus) identified in one specimen.
Conclusions:
- Astrovirus is detected in infant intussusception cases.
- Further studies are required to establish astrovirus' role in IS etiology.
- Astrovirus should be considered in future IS etiological investigations.
Abstract:
Intussusception (IS) is a form of intestinal obstruction in which a segment of the bowel prolapses into a more distal segment. Viral infections, mostly adenovirus, enteroviruses, human herpesvirus and Epstein-Barr virus are reported in 20-50% of childhood cases of IS. Between January and July 2004, six stool specimens collected from infants 0- to 8-months old diagnosed and admitted for IS were investigated for the presence of rotavirus, astrovirus and adenovirus antigens. Astrovirus antigen was detected in three of the six stool specimens by enzyme immune assay (EIA) and confirmed in two specimens by reverse transcription-polymerase chain reaction (RT-PCR). Rotavirus, non-enteric adenovirus and astrovirus were detected by EIA, as mixed infections in a single specimen. The rotavirus strain revealed a SGI+II, mixed G1G2G8P[6] genotype and had no visible electrophoretic profile. A larger study is needed to determine the extent of involvement of astroviruses in IS in infants and the virus should be included in studies investigating the aetiology of IS.
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