دورية أكاديمية
Rotavirus gastroenteritis as a precipitating factor of celiac crisis in infancy: Case reports and review of literature
| العنوان: | Rotavirus gastroenteritis as a precipitating factor of celiac crisis in infancy: Case reports and review of literature |
|---|---|
| المؤلفون: | Leković Zoran, Radlović Vladimir, Jovičić Nevena, Đuričić Goran, Mladenović Marija, Dašić Ivana, Radlović Nedeljko |
| المصدر: | Srpski Arhiv za Celokupno Lekarstvo, Vol 149, Iss 3-4, Pp 221-224 (2021) |
| بيانات النشر: | Serbian Medical Society, 2021. |
| سنة النشر: | 2021 |
| المجموعة: | LCC:Medicine |
| مصطلحات موضوعية: | celiac crisis, infants, rotavirus gastroenteritis, Medicine |
| الوصف: | Introduction. Celiac crisis is a rare and life-threatening complication of celiac disease. Although it occurs in all ages, the most common affects children within the first two years. Outline of cases. We report three infants (two female, one male, age range 9–12) with celiac crises as an initial presentation of celiac disease precipitated with rotavirus gastroenteritis. Celiac crisis was preceded by failure to thrive caused by anorexia, occasional vomiting and frequent abundant stools for 4–8 weeks, and 1–2 days before admission with fever, frequent vomiting and profuse watery diarrhea. They were admitted in a very severe general condition, severely dehydrated, markedly malnourished, with an enormously distended abdomen, edema of the lower legs and feet, and perianal erythema. After correction of dehydration and hypoalbuminemia, they were placed on a gluten- and disaccharide-free diet and within the first two weeks on additional parenteral nutrition. The applied therapeutic measures resulted in stabilization and further rapid improvement of the patient’s condition. In all three patients the latex agglutination test for rotavirus was positive, IgA anti-TTG antibodies elevated (58.6–78 U/ml) and all three were homozygous carriers of the HLA DQ2 gene. Enterobiopsy was performed two weeks after the admission and total villous atrophy (Marsh IIIc) was registered in all three patients. In the further course, the complete recovery of the patient was accomplished by a strict gluten-free diet. Conclusion. Our experience indicates that rotavirus gastroenteritis in timely unrecognized classical celiac disease in infants can lead to celiac crisis. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English Serbian |
| تدمد: | 0370-8179 2406-0895 |
| Relation: | https://doaj.org/toc/0370-8179; https://doaj.org/toc/2406-0895 |
| DOI: | 10.2298/SARH200802101L |
| URL الوصول: | https://doaj.org/article/3127fc5e57994e739665ea9fe7d2be0e |
| رقم الأكسشن: | edsdoj.3127fc5e57994e739665ea9fe7d2be0e |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 03708179 24060895 |
|---|---|
| DOI: | 10.2298/SARH200802101L |