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Three infants with rotavirus gastroenteritis complicated by severe gastrointestinal bleeding
Yoshiki Kawamura1, Hiroki Miura1, Yuji Mori1
1Department of Pediatrics, Fujita Health University School of Medicine, Japan.
Abstract:
Rotavirus gastroenteritis causes substantial morbidity and mortality worldwide in children. We report three infants with rotavirus gastroenteritis complicated by various severity of gastrointestinal bleeding. Two patients (cases 1 and 2) recovered completely without any specific treatments. One patient (case 3) died despite extensive treatments including a red blood cell transfusion and endoscopic hemostatic therapy. Rotavirus genotypes G1P[8] and G9P[8] were detected in cases 2 and 3, respectively. Rotavirus antigenemia levels were not high at the onset of melena, suggesting that systemic rotaviral infection does not play an important role in causing melena.
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