Viruses in acute gastroenteritis in children in Pune, India

P B Singh1, M A Sreenivasan, K M Pavri

  • 1National Institute of Virology, Pune, India.

Insights

Rotavirus was a significant cause of diarrhea in hospitalized Indian children under five. An inverse relationship was observed between rotavirus and coronavirus-like particles (CVLP) prevalence.

Area of Science:

  • Virology
  • Pediatric Gastroenterology
  • Infectious Diseases

Background:

  • Diarrhea is a major cause of childhood morbidity and mortality globally.
  • Viral pathogens are frequently implicated in pediatric gastroenteritis.

Purpose of the Study:

  • To investigate the role of viruses in childhood diarrhea in hospitalized Indian children.
  • To identify specific viral agents and their prevalence in diarrheal cases.

Main Methods:

  • A 2-year study (1981-1982) involving 426 children (213 diarrheal, 213 controls) in Pune, India.
  • Stool sample analysis using electron microscopy and ELISA for viral detection.
  • Identification of rotavirus, coronavirus-like particles (CVLP), adenovirus, astrovirus, calicivirus, and small round virus-like particles (SRV).

Main Results:

  • Rotavirus was detected in 28.6% of diarrheal patients versus 1.4% of controls, predominantly in children under 5 years.
  • Coronavirus-like particles (CVLP) were more prevalent in controls (23.0%) than in diarrheal cases (8.9%), with seasonal variations.
  • An inverse relationship was noted between CVLP and rotavirus detection.

Conclusions:

  • Rotavirus is a key viral agent causing diarrhea in young hospitalized children in this Indian population.
  • The findings suggest distinct epidemiological patterns for different viral agents, including an inverse association between rotavirus and CVLP.

Related Concept Videos

Acute Pharyngitis01:30

Acute Pharyngitis

Introduction
Acute pharyngitis is the inflammation of the back of the throat (pharynx), commonly resulting in a sore throat. It is a frequently encountered condition that prompts individuals to seek medical advice.
Classification
Acute pharyngitis can be categorized based on its underlying cause:
Acute Pyelonephritis I: Introduction01:27

Acute Pyelonephritis I: Introduction

Pyelonephritis is a bacterial infection that primarily affects the renal parenchyma and collecting system, including the renal pelvis, tubules, and interstitial tissue of one or both kidneys. It can be classified as either acute—a sudden, severe infection—or chronic, which refers to long-term or recurrent kidney infections.The primary cause of acute pyelonephritis (APN) is bacterial infection, with Escherichia coli accounting for approximately 70-80% of cases. Other bacteria, such as Proteus,...
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...
Poliomyelitis01:17

Poliomyelitis

Poliomyelitis is caused by poliovirus, a small, non-enveloped, positive-sense RNA virus of the Picornaviridae family and Enterovirus genus. Transmission occurs primarily via the fecal-oral route, often through ingestion of contaminated water or food. The virus initially replicates in the oropharynx and intestinal mucosa, particularly in lymphoid tissues such as the tonsils, Peyer’s patches, and regional lymph nodes. Primary viremia follows, allowing dissemination throughout the body.In most...
Arboviral Encephalitis01:25

Arboviral Encephalitis

Arboviral encephalitis refers to brain inflammation caused by arthropod-borne viruses, particularly those transmitted through mosquito vectors. Among these, West Nile virus (WNV), a member of the Flaviviridae family, is a significant public health concern. WNV is an enveloped, positive-sense, single-stranded RNA virus. Human infection typically begins when an infected mosquito introduces the virus into the dermis during feeding. The primary transmission cycle involves birds as amplifying hosts...