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Published on: August 14, 2019
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Rotavirus gastroenteritis-associated urinary tract calculus in an infant
Kiwako Tsukida1, Masahide Goto1, Naoki Yamaguchi1
1Department of Pediatrics, Jichi Medical University, Shimotsuke, Tochigi, Japan.
The Turkish Journal of Pediatrics
|August 1, 2019
Summary
Rotavirus gastroenteritis can lead to urinary tract calculus and kidney dysfunction in infants. Prompt evaluation and management, including fluid therapy, can improve outcomes.
Area of Science:
- Pediatrics
- Nephrology
- Infectious Diseases
Background:
- Rotavirus gastroenteritis is a common childhood illness.
- Severe cases can lead to complications like dehydration and acute kidney injury.
- Urinary tract calculus (kidney stones) is a rare but serious complication.
Observation:
- A 15-month-old boy presented with rotavirus gastroenteritis.
- He developed both pre-renal and post-renal dysfunction.
- The post-renal dysfunction was attributed to urinary obstruction from calculus.
Findings:
- Abdominal ultrasound identified urinary tract calculus.
- The infant experienced pre-renal dysfunction due to dehydration.
- Post-renal dysfunction resulted from urinary obstruction.
Implications:
- This case highlights the potential for rotavirus gastroenteritis to cause urinary tract calculus and renal dysfunction.
- Early diagnosis and intervention, including fluid management and urine alkalization, are crucial.
- Pediatricians should consider urinary tract calculus in infants with severe gastroenteritis and signs of renal impairment.
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