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November 1983

Rotavirus-Induced Electrolyte Losses in a Patient With Ileostomy

Author Affiliations

Loma Linda University School of Medicine Loma Linda, Calif; Yale University School of Medicine New Haven, Conn

Am J Dis Child. 1983;137(11):1127-1128. doi:10.1001/archpedi.1983.02140370083028

Rotavirus infections are a major cause of acute diarrhea in infants and children worldwide and are responsible for considerable morbidity and even fatality.1 Recent diagnostic use of an enzyme-linked immunosorbent assay (ELISA) for detection of rotavirus antigen from stools of patients with acute diarrhea has helped to elucidate the epidemiology and clinical manifestations of rotavirus infection.2 We recently treated a patient with inflammatory bowel disease and ileostomy in whom severe electrolyte imbalance and increased ileostomy fluid losses developed after an upper respiratory tract infection; the patient had rotavirus antigen in her ileostomy drainage. We report the case to demonstrate a possible cause of increased ileostomy output and electrolyte imbalance, ie, rotavirus infection.

Report of a Case.—A 16-year-old girl with Crohn's disease of two years' duration had an ileostomy, resection of the terminal ileum and cecum, and drainage of a right-lower-quadrant abscess three months before admission. She recovered