Reddy Nalla Anuraag, Raj Keerthi, Lashkari Harsha Prasada
Department of Pediatric Hematology and Oncology, KMC Hospital, Ambedkar circle, Mangalore, India.
Department of Pediatrics, Kasturba Medical College, Manipal Academy of Higher Education (MAHE), Manipal, India.
Infect Chemother. 2023 Sep;55(3):403-407. doi: 10.3947/ic.2023.0058.
Norovirus infection in children on treatment for acute lymphoblastic leukemia can lead to severe morbidity due to chronic viral shedding, malabsorption, failure to thrive, and interruption of chemotherapy. We had four children with norovirus diarrhoea in eight years period in our pediatric oncology unit. Three children under two years of age had chronic noroviral shedding and persistent diarrhoea, probably due to poor adaptive immune responses. Two of those children didn't respond to nitazoxanide and succumbed to the illness. The third patient who received nitazoxanide and favipiravir, is currently well on chemotherapy.
正在接受急性淋巴细胞白血病治疗的儿童感染诺如病毒,可能因病毒长期排出、吸收不良、发育不良以及化疗中断而导致严重发病。在我们的儿科肿瘤病房,8年期间有4名儿童出现诺如病毒腹泻。3名两岁以下儿童出现诺如病毒长期排出和持续性腹泻,可能是由于适应性免疫反应较差。其中2名儿童对硝唑尼特无反应,最终病逝。第三名接受硝唑尼特和法匹拉韦治疗的患者目前化疗情况良好。