Department of Laboratory Medicine, Inje University College of Medicine, Korea.
Department of Clinical Laboratory Science, Semyung University, Korea.
Jpn J Infect Dis. 2020 Nov 24;73(6):427-430. doi: 10.7883/yoken.JJID.2020.069. Epub 2020 May 29.
Rotavirus and norovirus are well-known causes of viral infectious diarrhea. There are few reports on diarrhea caused by other viruses in Korea, although cases of gastroenteritis attributable to other viruses are increasing worldwide. The aims of this study were to detect various causes of viral diarrhea and to investigate their prevalence. A total of 801 fecal specimens submitted to a clinical microbiology laboratory for the detection of diarrheal viruses were included. We sought to detect rotavirus A/B/C, adenovirus, astrovirus, norovirus GI/GII, sapovirus, Aichi virus, human parechovirus, enterovirus, human cosavirus, human bocavirus, and Saffold virus using multiplex reverse transcription polymerase chain reaction (RT-PCR). At least one diarrheal virus was detected in 223 (27.8%) fecal specimens. Among them, two viruses were detected in 11 specimens. Rotavirus A was most common (17.1%; N = 137), followed by norovirus GII (5.0%; N = 40), enterovirus (4.2%; N = 34), adenovirus (1.0%; N = 8), astrovirus (1.0%; N = 8), human parechovirus (0.6%; N = 5), and human bocavirus (0.2%; N = 2). Rotaviruses B and C, norovirus GI, sapovirus, Aichi virus, human cosavirus, and Saffold virus were not detected. We confirmed that various diarrheal viruses can be detected in fecal specimens. We must consider the possibility of viruses other than rotavirus and norovirus being present in cases of diarrhea.
轮状病毒和诺如病毒是众所周知的病毒性传染性腹泻的病因。虽然全世界因其他病毒引起的胃肠炎病例在增加,但在韩国,关于其他病毒引起的腹泻的报道很少。本研究旨在检测病毒性腹泻的各种病因,并调查其流行率。共纳入 801 份粪便标本,这些标本均提交至临床微生物学实验室以检测腹泻病毒。我们采用多重反转录聚合酶链反应(RT-PCR)检测轮状病毒 A/B/C、腺病毒、星状病毒、诺如病毒 GI/GII、肠型杯状病毒、Aichi 病毒、人肠道孤儿病毒、肠道病毒、人冠状病毒、人博卡病毒和 Saffold 病毒。在至少 1 份粪便标本中检测到了 1 种以上的腹泻病毒。其中,11 份标本中检测到了 2 种病毒。轮状病毒 A 最为常见(17.1%;N = 137),其次是诺如病毒 GII(5.0%;N = 40)、肠道病毒(4.2%;N = 34)、腺病毒(1.0%;N = 8)、星状病毒(1.0%;N = 8)、人肠道孤儿病毒(0.6%;N = 5)和人博卡病毒(0.2%;N = 2)。未检测到轮状病毒 B 和 C、诺如病毒 GI、肠型杯状病毒、Aichi 病毒、人冠状病毒和 Saffold 病毒。我们证实了粪便标本中可检测到各种腹泻病毒。在腹泻病例中,我们必须考虑到除轮状病毒和诺如病毒以外的病毒存在的可能性。