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Published on: October 26, 2010
[Rota virus encephalopathy]
Yasuyo Kashiwagi1, Hisashi Kawashima, Shunsuke Suzuki
1Department of Pediatrics, Tokyo Medical University.
Insights
Rotavirus gastroenteritis can affect the central nervous system (CNS), leading to encephalopathy and other severe outcomes in children. This review covers recent advances in understanding rotavirus encephalopathy, including its causes, prognosis, and treatments.
Area of Science:
- Virology
- Pediatric Neurology
- Infectious Diseases
Context:
- Rotavirus is a leading cause of severe gastroenteritis in young children globally.
- The central nervous system (CNS) complications of rotavirus infection, known as rotavirus encephalopathy, are less understood.
- Rotavirus encephalopathy is associated with significant morbidity and mortality, including seizures, encephalopathy, and death.
Purpose:
- To review recent advances in the understanding of rotavirus encephalopathy.
- To consolidate information on the causative agent, pathogenesis, clinical features, prognosis, and treatment of rotavirus-induced CNS involvement.
- To highlight the clinical significance of rotavirus encephalopathy in pediatric populations.
Summary:
- Rotavirus, a common cause of childhood gastroenteritis, can also lead to central nervous system (CNS) involvement.
- Rotavirus encephalopathy presents with clinical signs of encephalopathy, potentially with cerebrospinal fluid (CSF) abnormalities.
- This review synthesizes current knowledge on rotavirus encephalopathy's etiology, disease mechanisms, clinical course, and therapeutic strategies.
Impact:
- Enhances understanding of a severe, under-recognized complication of rotavirus infection.
- Provides a comprehensive overview for clinicians and researchers managing pediatric CNS infections.
- Highlights the need for further research into the pathogenesis and treatment of rotavirus encephalopathy.
Abstract:
Rotavirus is the most common cause of severe gastroenteritis in young children, but the pathogenesis and immunity of this disease are not completely understood. Less well recognized is the association of rotavirus-induced central nervous system (CNS) involvement, which has been associated with seizure, encephalopathy and death etc. The term 'rotavirus encephalopathy' has been used for cases of rotavirus gastroenteritis with CNS involvement as evidenced by clinical features of encephalopathy with or without CSF pleocytosis. Here, we review the recent advances regarding its causative agent, prognosis, pathogenesis, and treatment.
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