Clinical study of extra intestinal damage after rotavirus infection in infants

Abstract

Objective To investigate the incidence of extra intestinal organ damage in infants with acute rotavirus(RV)infection, the relative risk factors in patients with extra intestinal organ damage, the significance of procalcitonin(PCT)in those infants with multiple organ injury. Methods One hundred and three infants with acute diarrhea whose rotavirus antigens were positive and 65 negative ones were divided into two groups.The differences between these two groups in incidences of extra intestinal organ damage were analyzed.Meanwhile, variables from the clinical data that may lead to extra intestinal organ damage were analyzed.Then, the relationship of multiple organ damage and serum concentration of PCT was also analyzed. Results There were significant differences between positive group and negative group in the rates of respiratory system injury, myocardial damage and hepatic involvement(P<0.05). High fever was the only high risk factor in myocardial damage through multi factor Logistic regression analysis.There were also significant differences among the group with multiple organ damage and only one extra intestinal organ damage and no extra intestinal organ damage in serum concentration of PCT(P<0.05). Conclusion It is common to be attacked by extra intestinal organ damage in infants with acute rotavirus infection.High fever is the risk factor for RV enteritis complicated with myocardial damage.The elevation of PCT concentration suggest that multiple organ injury out of the intestinal tract may take place in infants with acute RV infection. Key words: Rotavirus; Multiple organ injury; Complication; Risk factor; Infant