Human caliciviruses in acute gastroenteritis of young children in the community

J Infect Dis. 2000 May:181 Suppl 2:S288-94. doi: 10.1086/315590.

Abstract

Episodes of acute gastroenteritis in prospectively followed children between 2 months and 2 years of age were examined for rotaviruses, enteric adenoviruses, astroviruses, and human caliciviruses, including both Norwalk-like viruses (NLVs) and Sapporo-like viruses (SLVs), using PCR and reverse transcription (RT)-PCR assays. A virus was identified in 60% (502/832) of all episodes and in 85% of the moderately severe or severe episodes. Human caliciviruses were as common as rotaviruses, both being detected in 29% of the cases. NLVs accounted for a 20% etiologic share of all cases; the clinical picture was a moderately severe disease with vomiting as a predominant symptom. SLVs were detected in 9% of the cases, the clinical picture being a mild diarrheal disease. Astroviruses were found in 10% and enteric adenoviruses in 6% of the cases. Diagnosis with PCR and RT-PCR methods increases the detection of all gastroenteritis viruses, particularly human caliciviruses. As a group, human caliciviruses are common causative agents of gastroenteritis in children <2 years of age in Finland, and, of these, NLVs cause more severe disease than SLVs.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial

MeSH terms

  • Acute Disease
  • Caliciviridae / isolation & purification*
  • Child, Preschool
  • Double-Blind Method
  • Feces / virology
  • Gastroenteritis / etiology*
  • Humans
  • Immunoenzyme Techniques
  • Infant
  • Prospective Studies
  • Reverse Transcriptase Polymerase Chain Reaction
  • Rotavirus / isolation & purification