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《Journal of The Fourth Military Medical University》 2001-08
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Co-relative factors between heart lesion and viremia in young children with rotavirus diarrhea

LI Ning 1, YAO Ying Min 1,WANG Zhi Rui 2 1Department of Pediatrics, Nanfang Hospital, First Military Medical University, Guangzhou 510515, China; 2Department of Pharmacon, Xijing Hospital, Fourth Military Medical University  
AIM To investigate the possibility of myocardial involvement in children with rotavirus (RV) diarrhea and its association with clinical manifestations and viremia resulting from RV infection. METHODS Levels of creatine kinase MB (CK MB) and aminotranferase(AST) in the serum of children with RV diarrhea were measured and multi factor analysis was performed to explore the correlation between changes in CK MB level and the clinical manifestations. The genome of RV from blood serum and mononuclear cells were tested with reverse nest polymerase chain reaction. RESULTS For CK MB, out of the 44 children with RV diarrhea, 25 (57%) were observed abnormal in terms of the serum level. Out of these 25 cases, the values of 22 (accounting for 50% of the total cases) ranged from 282 nkat·L -1 to 498 nkat·L -1 and 3 (accounting for 7% of the total cases) ranged from 650 nkat·L -1 to 1300 nkat·L -1 . For AST, out of the 44 children with RV diarrhea, 36 (82%) were observed abnormal in the terms of the serum level. Out of the 36 cases, the values of 24 (accounting for 55% of the total cases) ranged from 783 nkat·L -1 to 1466 nkat·L -1 , 4 ranged from 1510 nkat·L -1 to 2075 nkat·L -1 and 7(16%) ranged from 2633 nkat·L -1 to 6800 nkat·L -1 . Neither diarrhea nor dehydration was shown to co relate significantly with the variety of CK MB and AST levels, while significant correlation between fever and the changes in CK MB levels was observed. Viremia was found in 4 cases from 44, out of which one was detected in serum and the other 3 ones, in mononuclear cells. CONCLUSION RV may diffuse from intestine to other systems and organs in common children with rotavirus diarrhea and the heart may be one of the organs to be infected. Precautions must be taken against the contradiction between fluid replacement for dehydration and the potential cardiac hypofunction.
【CateGory Index】: R725
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