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Published on: September 10, 2021
Intestinal intussusception in adults due to acute enterovirus infection
Abstract:
Three adult cases of intussusceptions, associated with enteroviruses occurring within a 3-week period, are reported. Virological studies include viral RNA detection in stool samples and staining for enterovirus protein by immunoperoxidase staining of the resected intestinal tissues. A new mechanism for intussusception associated with enterovirus is proposed. Tap water was implicated in the outbreak. Better monitoring of drinking-water may prevent other cases of non-polio enterovirus infection.
Insights
Three adult intussusception cases were linked to enteroviruses. A new mechanism involving tap water suggests improved water monitoring could prevent future non-polio enterovirus infections.
Area of Science:
- Virology
- Gastroenterology
- Epidemiology
Background:
- Intussusception is a rare condition in adults.
- Enteroviruses are common viral pathogens.
- Outbreaks of non-polio enterovirus infections can occur.
Observation:
- Three adult intussusception cases occurred within three weeks.
- Enterovirus RNA was detected in stool samples.
- Enterovirus protein was identified in resected intestinal tissue.
Findings:
- A novel mechanism linking enteroviruses to intussusception in adults is proposed.
- Tap water was identified as a potential source in this outbreak.
- Non-polio enterovirus infection is associated with adult intussusception.
Implications:
- Enhanced drinking-water monitoring may prevent future non-polio enterovirus outbreaks.
- Understanding the link between enteroviruses and intussusception can improve diagnosis and treatment.
- This study highlights the importance of virological surveillance in unexplained gastrointestinal conditions.
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