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Staphylococcus aureus endocarditis and pyomyositis: Rare complications of rotavirus gastroenteritis

Bilge Aldemir-Kocabaş1, Adem Karbuz1, Tuğçe Tural Kara1

  • 1Division of Pediatric Infectious Diseases, Ankara University, Ankara, Turkey.

Pediatrics International : Official Journal of the Japan Pediatric Society
|August 29, 2015
PubMed

Insights

Rotavirus gastroenteritis can lead to severe complications. This case highlights rare Staphylococcus aureus bacteremia, pyomyositis, and endocarditis as potential outcomes in children with prolonged fever during rotavirus infection.

Area of Science:

  • Pediatric Infectious Diseases
  • Gastroenterology
  • Microbiology

Background:

  • Rotavirus gastroenteritis (RG) is a common childhood illness.
  • Complications include electrolyte imbalance, bacteremia, and sepsis, often due to intestinal microbial translocation.
  • Gram-negative bacteremia is a known complication of RG.

Observation:

  • A 22-month-old boy presented with fever, diarrhea, and dehydration.
  • The patient was diagnosed with rotavirus gastroenteritis.
  • The diagnosis was complicated by Staphylococcus aureus bacteremia, pyomyositis, and endocarditis.

Findings:

  • This case represents the first reported instance of Staphylococcus aureus bacteremia and endocarditis as complications of rotavirus gastroenteritis.
  • The patient experienced prolonged fever, indicating a severe disease course.
  • Intestinal dysfunction leading to microbial translocation is the suspected mechanism for bacteremia.

Implications:

  • Clinicians should consider rare bacterial complications, such as Staphylococcus aureus infections, in children with prolonged or late-onset fever during rotavirus gastroenteritis.
  • Early recognition and management of these severe complications are crucial for patient outcomes.
  • This case expands the spectrum of known RG complications and emphasizes the need for vigilance in pediatric infectious disease management.
Keywords:
bacteremiacomplicationendocarditismyositisrotavirus

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