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由札幌病毒感染引起的严重胃肠炎继发感染性休克

Septic Shock Secondary to Severe Gastroenteritis Resulting From Sapovirus Infection.

作者信息

Landa Eric, Javaid Saad, Won Jung S, Vigandt Erika, Caronia Jonathan, Mir Parvez, Thet Zeyar

机构信息

Internal Medicine, Unity Health, Searcy, USA.

Internal Medicine, Wyckoff Heights Medical Center, New York City, USA.

出版信息

Cureus. 2022 Apr 10;14(4):e24010. doi: 10.7759/cureus.24010. eCollection 2022 Apr.

DOI:10.7759/cureus.24010
PMID:35547467
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9090209/
Abstract

Sapovirus causes acute gastroenteritis (AGE) which manifests as severe diarrhea and vomiting. It is most often seen in, but not limited to, children and toddlers but can occur in people of all ages. It is typically more prevalent in low to middle-income countries but has also been reported in progressive countries such as the United States. Due to the universal use of reverse transcriptase-polymerase chain reaction (RT-PCR) testing, the reported incidence of sapovirus has continued to grow as the culprit agent in both AGE outbreaks and isolated cases. Its symptoms resemble what is seen with rotavirus but with a milder clinical course. This discussion explores the dire implications of a relatively understated pathogen. Here, we present a rare case of a 20-year-old woman who presented with septic shock secondary to severe gastroenteritis as a result of sapovirus infection.

摘要

札幌病毒可引发急性肠胃炎(AGE),症状表现为严重腹泻和呕吐。该病毒最常见于儿童和幼儿,但不限于此,各年龄段人群均可能感染。通常在低收入和中等收入国家更为普遍,但在美国等发达国家也有病例报告。由于逆转录聚合酶链反应(RT-PCR)检测的广泛应用,札幌病毒作为AGE暴发和散发病例的致病原,其报告发病率持续上升。它的症状与轮状病毒感染相似,但临床病程较轻。本文探讨了这种相对被低估的病原体所带来的严重影响。在此,我们报告一例罕见病例,一名20岁女性因札幌病毒感染导致严重肠胃炎继发感染性休克。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/05f4/9090209/24ec3cb43164/cureus-0014-00000024010-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/05f4/9090209/24ec3cb43164/cureus-0014-00000024010-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/05f4/9090209/24ec3cb43164/cureus-0014-00000024010-i01.jpg

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Diversity of human sapovirus genotypes detected in Japanese pediatric patients with acute gastroenteritis, 2014-2017.2014-2017 年日本小儿急性胃肠炎患者中检测到的人类星状病毒基因型多样性。
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