A Case of Massive Hemorrhagic Enteritis due to Rotavirus

Suzuki, Yoshimi; Inagaki, H.; Imaeda, Masayuki; Mizutani, Fumihiko; Ando, Mitsuhiro; Matsubayashi, Tadashi; Nisimura, Yutaka

doi:10.11150/kansenshogakuzasshi1970.64.1045

Cited by 2 publications

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“…Gastrointestinal bleeding and urinary stone that may cause post-renal renal failure are also considered to be severe complications of RV gastroenteritis. 11,12,21 Similar to RV-associated encephalitis/encephalopathy, 2-4 most of the complications, in particular, urinary stone, have been reported from Japan. 9,10 Given that urinary stone or GI bleeding occur rarely in RV gastroenteritis, not only pathogenesis but also the precise incidence of the complications remain unclear.…”

Section: Discussionmentioning

confidence: 93%

“…Gastrointestinal bleeding and urinary stone that may cause post‐renal renal failure are also considered to be severe complications of RV gastroenteritis . Similar to RV‐associated encephalitis/encephalopathy, most of the complications, in particular, urinary stone, have been reported from Japan .…”

Section: Discussionmentioning

confidence: 99%

“…1 It can, rarely, however, cause severe complications such as encephalopathy/ encephalitis, 2-4 myocarditis, 5,6 sudden death, 7,8 urinary stone, 9,10 and gastrointestinal (GI) bleeding. 11,12 In a previous nationwide questionnaire survey, annual cases of RV-associated encephalitis/encephalopathy and sudden death numbered 41.1 and 5.0 cases/year in Japan, respectively. 13 The prognosis of RV encephalitis/encephalopathy was also unexpectedly poor, and accounted for 10 deaths.…”

mentioning

confidence: 99%

“…Although RV gastroenteritis generates a large economic burden in developed countries, it is generally a self‐limiting benign infectious disease in these countries . It can, rarely, however, cause severe complications such as encephalopathy/encephalitis, myocarditis, sudden death, urinary stone, and gastrointestinal (GI) bleeding . In a previous nationwide questionnaire survey, annual cases of RV‐associated encephalitis/encephalopathy and sudden death numbered 41.1 and 5.0 cases/year in Japan, respectively .…”

mentioning

confidence: 99%

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Survey of rotavirus‐associated severe complications in Aichi Prefecture

Hattori

Kawamura

Kawada

et al. 2018

Pediatrics International

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Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Survey of rotavirus‐associated severe complications in Aichi Prefecture

Hattori

Kawamura

Kawada

et al. 2018

Pediatrics International

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“…Unfortunately, our patient had a more severe ischemic liver injury, as well as the other ischemic complications of the heart and kidneys, requiring continuous renal replacement therapy and hemodialysis. There are, however, plenty of case reports of children with severe rotavirus leading to complications or even death [ 10 – 13 ]; however, none of these cases describe adults with the same extremity of disease.…”

Section: Discussionmentioning

confidence: 99%

Rotavirus Gastroenteritis Leading to Multi-Organ Failure in an Adult

Edwards,

Abasszade,

Nan

et al. 2023

Am J Case Rep

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Patient: Male, 65-year-old Final Diagnosis: Acute kidney injury • myocardial infarction • rotavirus infection Symptoms: Diarrhea • vomiting Clinical Procedure: Intravenous hydration • renal replacement therapy Specialty: General and Internal Medicine Objective: Rare coexistence of disease or pathology Background: Infectious diarrheal illnesses such as rotavirus gastroenteritis are significant contributors to childhood morbidity and mortality, especially in low socio-demographic index regions. Major advances in addressing this issue include sanitation and clean water initiatives, as well as rotavirus immunization. In Australia, a robust vaccination program has significantly reduced childhood rotavirus infections, leading to decreased hospitalizations and mortality. However, cases of adult rotavirus still occur, and although these adult patients usually do not require interventional management, it is possible for them to present critically unwell and require resuscitation. Case Report: A previously well 65-year-old man presented to the Emergency Department febrile and hypotensive with severe diarrhea attributed to rotavirus. Clinically, he presented with mixed hypovolemic and septic shock. Despite initial resuscitation, he had multiple severe acute end-organ complications, secondary to poor perfusion. He acquired an acute kidney injury, type-2 myocardial infarction, and ischemic hepatic injury. The mainstay of management was rapid fluid resuscitation, continuous renal replacement therapy, and monitoring in the Intensive Care Unit; however, it was crucial to empirically treat for other causes of shock. Conclusions: To the best of our knowledge, there is a scarcity of reports documenting the management of severe rotavirus gastroenteritis in adults. We recommend advising elderly patients to avoid contact with individuals with diarrheal illnesses, especially rotavirus gastroenteritis. Clinicians should also promote awareness regarding the potential severity of a disease that is typically managed conservatively, and be aware that intervention can be required in severe gastroenteritis.

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A Case of Massive Hemorrhagic Enteritis due to Rotavirus

Cited by 2 publications

References 0 publications

Survey of rotavirus‐associated severe complications in Aichi Prefecture

Survey of rotavirus‐associated severe complications in Aichi Prefecture

Rotavirus Gastroenteritis Leading to Multi-Organ Failure in an Adult

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