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Updated: Apr 15, 2026

Murine Fecal Isolation and Microbiota Transplantation
Published on: May 26, 2023
A cluster of rotavirus enteritis in pediatric liver recipients
1The Center for Disease Control and Prevention of Xicheng District, Beijing, China.
Abstract:
We observed a cluster of 4 pediatric liver recipients who developed diarrhea in a liver transplant unit within 5 days. Feces from these 4 patients were rotavirus positive when tested with Colloidal Gold Diagnostic Kit. Nucleic acid from 3 fecal specimens was extracted and reverse transcribed. Two were amplified positively. The complementary DNAs were sequenced. Alignment and phylogenetic analysis were performed with MEGA 6.06. Although involving only 4 pediatric liver recipients, this cluster was caused by at least 2 distinct G9P[8] rotavirus strains and included community infection and nosocomial infection.
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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