ABSTRACT
Objective To discuss the expression level of serum procalcitonin( PCT) and clinical val-ue in acute viral diarrhea patients. Methods A total of 186 patients with acute viral diarrhea treated in our hospital from September 2013 to September 2015 were retrospectively reviewed. One hundred and seven were male and 79 were female,of which 171 cases were infected by rotavirus and 15 cases infected by norovirus. The average age was ( 1. 29 ± 0. 89 ) years old. All patients′ blood and stool cultures were negative. The patients were divided into three groups according to the degree of dehydration and whether complicated with multiple organ dysfunction or not:severe group( complicated with severe dehydration,shock or multiple organ dysfunction,n=33),mild-moderate dehydration group(n=68) and no dehydration group(n=85). Thirty-five healthy children with the same age were enrolled as the control group. Serum PCT levels,high sensitivity CRP(hs CRP) and blood routine were detected. Results The serum PCT levels increased in 73 patients with acute viral diarrhea,8 cases>100 ng/ml,21 cases 5 to 100 ng/ml and 44 cases 0. 5 to 5. 0 ng/ml. PCT( ng/ml)[0. 36(0. 14,1. 67),hsCRP(mg/L)[3. 50(0. 70,14. 83)] and WBC( × 109/L)[9. 06(6. 79,12. 50)] levels increased in the diarrhea patients compared with those in the healthy group[0. 09(0. 05,0. 13);1. 00 (0.40,2.50);6.90(5.90,8.20)](all P 0. 05 ) . Conclusion PCT can increase in pediatric patients with acute viral diarrhea,especially in those with severe dehydration,shock and organ dysfunction. Continued high levels of PCT indicates critical condition and has poor prognosis. PCT can be used as a good indicator to evaluate the severity of disease and the prognosis.
ABSTRACT
Objective To compare the molecular epidemic characteristics of human astrovirus (HAstV) between outpatient and hospitalized children with acute diarrhea,and to investigate the relationship between HAstY infection and diarrhea in children.Methods A total of 298 cases were randomly collected from hospitalized children from January 2008 to December 2010 in Children's Hospital of Fudan University,and 360 specimens were collected from outpatients with acute diarrhea from August 2010 to July 2011.Reverse transcriptase polymerase chain reaction (RT-PCR) was used to detect rotavirus (RV),human calicivirus (HuCV),HAstV and human adenovirus (HAdV).H AstV genotype was determined by gene sequencing and phylogenetic analysis.Results Epidemiology of HAstV in hospitalized children was as follows:among the included 298 samples,HAstV was detected in 27.2％ (81/298) of the patients,compared with 33.9％ (42/124),33.8％ (25/74) and 14.0％ (14/100),respectively from 2008 to 2010.HAstV diarrhea occurred throughout the year and peaked in January,March,and April.95.1％ (77/81) of the infected children were 0-35 months old.All the episodes of HAstV were mixed with other diarrhea virus infection.Molecular epidemiology of HAstV in outpatient children with diarrhea was as follows:the overall incidence of HAstV was 1.9 ％ among the 360 cases (7/360).The seasonal distribution of HAstV's gastroenteritis showed a peak in November.All the outpatient children were 0-35 months old.Three cases were single infection with HAstV and the others were coinfection with RV (3 cases) or HAdV (1 case).All of the detected HAstV,either in inpatients or outpatients,belonged to HAstV-1.Conclusions The detection rate of HAstV in hospitalized children is significantly higher than that in outpatients.Most HAstV infections in hospitalized children are ascribed to nosocomial infections.Most episodes of HAstV infection were accompanied with other diarrhea viruses infection.HAstY single infection is seen in outpatient children while the detection rate is very low,implying that HAstV co-infection with other viruses plays a main role in diarrhea in most instances.
ABSTRACT
Bovine feedlots are intensive production systems of significant importance in Mexico. The present study describes the presence of bovine virus diarrhea (BVD) causing subacute to chronic lesions in feedlot cattle, associated with other pathologies. Animals included in this study were discarded after they received therapy several times due to chronic pneumonia, or anaplamosis. Bovine virus diarrhea antigen was identified by immunohistochemistry in small intestine and myocardium in six cases of chronic suppurative bronchopneumonia with extensive areas of casseous necrotic bronchiectasis, previously diagnosed as Mycoplasma bovis pneumonias (retrospective group, n = 6). Furthermore, based on characteristic histopathologic lesions other nine cases were included (prospective group, n = 9). Bovine virus diarrhea antigen was recognized in two animals with pneumonic lesions, including a case with fibrinous bronchopneumonia as well as suggestive lesions of infectious bovine rinotracheitis (1/9), and another one with suppurative bronchopneumonia and myocarditis suggestive of Histophilus somni (1/9). In addition, one positive case was associated to anaplasmosis (1/9). Other two positive cases showed a conspicuous fibrinous peritonitis (2/9). The rest of the animals in this group resulted negative (4/9). Histopathological characteristics of the lesions and their association with the antigen in situ confirm the presence of BVD. This presentation is compatible with the acute infection syndrome. This is the first report of BVD infection and concomitant pathologies in feedlot cattle in Mexico.
El ganado en corral de engorda es un sistema de producción intensivo de gran importancia en México. En este trabajo se describe la infección por diarrea viral bovina (DVB), ocasionado por lesiones subagudas y crónicas en bovinos en corral de engorda, y su asociación con otras patologías. Los animales de este estudio fueron considerados de rechazo después de ser tratados en diferentes ocasiones por enfermedad respiratoria, o bien anaplasmosis. El antígeno de DVB fue identificado por inmunohistoquímica (IHQ) en intestino delgado y miocardio en seis casos de bronconeumonía supurativa crónica con extensas áreas de bronquiectasia con necrosis caseosa, los cuales habían sido previamente diagnosticados como neumonías por Mycoplasma bovis (grupo retrospectivo, n = 6). Además, se incluyeron otros nueve casos con base en las características histopatológicas de las lesiones (grupo prospectivo, n = 9). El antígeno de DVB se reconoció en dos animales con lesiones neumónicas, uno de ellos con bronconeumonía fibrinosa, incluyendo además lesiones probables de rinotraqueítis infecciosa bovina (1/9), y el otro con bronconeumonía supurativa y también miocarditis probable por Histophilus somni (1/9). Adicionalmente, un caso positivo estuvo asociado a anaplasmosis (1/9). Otros dos casos positivos presentaron una distintiva peritonitis fibrinosa (2/9). El resto de los animales de este grupo resultaron negativos a DVB (4/9). Las características histopatológicas de las lesiones y su asociación con el antígeno in situ, confirman la presencia de DVB. Esta presentación es compatible con el síndrome denominado infección aguda. Este es el primer informe de infección por DVB y otras patologías concomitantes en ganado de engorda en México.
ABSTRACT
The purpose of the present study was to investigate Norovirus infection status among patients with virus diarrhea in Xiamen city and provide evidence for exploring the prevalence characteristics and constituting appropriate control strategy.From April 2007 to July 2008,323 fecal samples of virus diarrhea cases collected from 3 surveillance hospitals in Xiamen were detected for antigen and RNA by ELISA and Real-Time RT-PCR respectively.The RdPd genes from some samples were furtherly amplified and sequenced for genogroup identification when the Real-Time RT-PCR detection results were positive.In the 323 fecal specimens,68 (21.05%) were positive for Norovirus antigen by ELISA and 107 (31.13%) were positive for Norovirus RNA by Real-Time RT-PCR.The overall positive prevalence rate of Norovirus in Xiamen was 38.08%.107 positive specimens were detected by Real-Time RT-PCR and results showed that 80 strains were Norovirus GGⅡ(74.77%),2 strains were GGⅠ(1.87%) and 25 strains (23.36%)were unidentified.It's indicated that Norovirus infection in Xiamen district was mainly caused by Norovirus GGⅡ,and Norovirus was also the main cause for virus diarrhea.