Ileal Perforation with Norovirus Gastroenteritis in a 3-Month-Old Infant

Noroviruses have been recognized as the leading cause of epidemic and sporadic gastroenteritis since the advent of molecular diagnostic technique. They have been documented in 5-31% of pediatric patients hospitalized with gastroenteritis. Although norovirus gastroenteritis is typically mild and self...

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Published inPediatric gastroenterology, hepatology & nutrition Vol. 20; no. 2; pp. 130 - 133
Main Authors Wi, Seol Woo, Lee, Su Jin, Kang, Eun Kyeong, Cho, Sung Min
Format Journal Article
LanguageEnglish
Published Korea (South) The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition 01.06.2017
대한소아소화기영양학회
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ISSN2234-8646
2234-8840
DOI10.5223/pghn.2017.20.2.130

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Summary:Noroviruses have been recognized as the leading cause of epidemic and sporadic gastroenteritis since the advent of molecular diagnostic technique. They have been documented in 5-31% of pediatric patients hospitalized with gastroenteritis. Although norovirus gastroenteritis is typically mild and self-limited, it causes severe, but sometimes fatal, conditions in the vulnerable population such as immunocompromised patients, young children, and the elderly. Bowel perforation due to norovirus infection is rare. We report a case of small bowel perforation with norovirus gastroenteritis in the infant with Down syndrome during the hospitalization with pneumonia. Severe dehydration may cause bowel ischemia and could have triggered bowel perforation in this case. Physicians should be alert to the potential surgical complications followed by severe acute diarrhea, especially in high risk groups.
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ISSN:2234-8646
2234-8840
DOI:10.5223/pghn.2017.20.2.130