A cluster of rotavirus enteritis in pediatric liver recipients

H Cui1, S Bai1, Z Huo1

  • 1The Center for Disease Control and Prevention of Xicheng District, Beijing, China.

Insights

A cluster of pediatric liver transplant patients experienced rotavirus-induced diarrhea. Genetic analysis revealed at least two distinct G9P[8] rotavirus strains, highlighting both community and hospital-acquired infections.

Area of Science:

  • Pediatric Gastroenterology
  • Infectious Diseases
  • Transplant Medicine

Background:

  • Liver transplant recipients are immunocompromised, increasing susceptibility to infections.
  • Rotavirus is a common cause of gastroenteritis in children.

Purpose of the Study:

  • To investigate a rotavirus outbreak cluster in pediatric liver transplant recipients.
  • To characterize the rotavirus strains involved in the outbreak.

Main Methods:

  • Fecal samples from affected patients were tested for rotavirus using a Colloidal Gold Diagnostic Kit.
  • Rotavirus RNA was extracted, reverse transcribed, amplified, and sequenced.
  • Phylogenetic analysis was conducted using MEGA 6.06 software.

Main Results:

  • Four pediatric liver recipients developed diarrhea within five days.
  • Rotavirus was detected in all four patients' fecal samples.
  • Phylogenetic analysis identified at least two distinct G9P[8] rotavirus strains.
  • The outbreak involved both community-acquired and nosocomial infections.

Conclusions:

  • Rotavirus outbreaks can occur in vulnerable pediatric liver transplant populations.
  • Multiple rotavirus strains can co-circulate during an outbreak.
  • Infection control measures are crucial in transplant units to prevent nosocomial spread.

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