[Comparative analysis on clinical manifestations for gastroenteritis caused by norovirus and rotavirus]

Li Deng1, Li-ying Jia, Yuan Qian

  • 1Department of Infection and Digestion, Affiliated Childrens' Hospital to Capital Institute of Pediatrics, Beijing 100020, China.

Insights

Rotavirus and norovirus cause similar gastroenteritis symptoms in children, with rotavirus peaking in winter. Both are significant causes of acute diarrhea in young children.

Area of Science:

  • Pediatric infectious diseases
  • Virology
  • Gastroenterology

Background:

  • Gastroenteritis is a common illness in infants and young children.
  • Norovirus and rotavirus are significant viral causes of gastroenteritis worldwide.

Purpose of the Study:

  • To compare clinical manifestations of norovirus and rotavirus gastroenteritis in Beijing infants and young children.
  • To identify differences in seasonality and clinical presentation between the two viruses.

Main Methods:

  • Stool specimens collected from children with acute diarrhea (2002-2006).
  • Polyacrylamide gel electrophoresis (PAGE) for rotavirus detection.
  • Enzyme immunoassay (EIA) for norovirus detection.

Main Results:

  • Rotavirus detected in 33.8% of specimens; norovirus in 24.8%.
  • Clinical symptoms were similar, except for fever.
  • Rotavirus peaked in colder months (October-January); norovirus showed no distinct seasonal peak.

Conclusions:

  • Rotavirus is a primary cause of acute diarrhea in young children.
  • Norovirus is also an important pathogen for gastroenteritis in this age group.
  • Clinical presentations of norovirus and rotavirus gastroenteritis are largely indistinguishable.
Abstract

Related Concept Videos

Bacterial Gastroenteritis01:18

Bacterial Gastroenteritis

Bacterial gastroenteritis, characterized by diarrhea, abdominal cramps, and vomiting, is often caused by ingestion of contaminated food or water and is frequently associated with pathogenic Escherichia coli strains. These microbes exploit two principal mechanisms to inflict disease.Shiga toxin–producing E. coli, also referred to as STEC—notably O157:H7—release Shiga toxins that target ribosomes, blocking protein synthesis. The B subunit of the toxin binds the host glycolipid receptor...
Viral Meningitis01:18

Viral Meningitis

Viral meningitis is the most common form of meningitis and is often referred to as aseptic meningitis to indicate the absence of bacterial involvement. It is generally milder than bacterial meningitis, with symptoms including fever, headache, stiff neck, drowsiness, nausea, photophobia, and vomiting. Rarely, more severe manifestations or death may occur. Common causative agents include enteroviruses, particularly coxsackie A and B viruses and echoviruses, all members of the Enterovirus genus...
Gastritis III: Clinical Manifestations and Management01:23

Gastritis III: Clinical Manifestations and Management

The clinical manifestations of gastritis can vary depending on the cause and type of gastritis, but some common symptoms may include the following.
Clinical manifestations of acute gastritis
The patient with acute gastritis may have a rapid onset of symptoms, such as epigastric pain or discomfort, dyspepsia, anorexia, hiccups, or nausea and vomiting, which can last from a few hours to a few days. Erosive or hemorrhagic gastritis may cause bleeding, which may manifest as blood in vomit or as...
Inflammatory Bowel Disease IV: Clinical Manifestations01:20

Inflammatory Bowel Disease IV: Clinical Manifestations

Inflammatory bowel disease (IBD) encompasses two major chronic disorders—ulcerative colitis and Crohn’s disease—each characterized by relapsing episodes of gastrointestinal inflammation. Although they share certain clinical features, their patterns of involvement and manifestations differ in ways that aid diagnosis and guide management.Ulcerative ColitisUlcerative colitis is limited to the colon and rectum and involves continuous inflammation of the mucosal layer. The disease course is marked...
Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation01:30

Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation

Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
Irritable Bowel Syndrome (IBS) is classified into subtypes based on the predominant bowel habits as determined by the Bristol Stool Form Scale (BSFS). The subtypes are:
Peptic Ulcer Disease III: Clinical Manifestations and Diagnostic Studies01:28

Peptic Ulcer Disease III: Clinical Manifestations and Diagnostic Studies

Peptic ulcer disease (PUD) presents with diverse symptoms depending on the location and severity of the ulcer. Clinical manifestations of peptic ulcer include dull pain and a burning sensation in the mid-epigastric region.
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.