Influenza virus infection among pediatric patients reporting diarrhea and influenza-like illness

Background Influenza is a major cause of morbidity and hospitalization among children. While less often reported in adults, gastrointestinal symptoms have been associated with influenza in children, including abdominal pain, nausea, vomiting, and diarrhea. Methods From September 2005 and April 2008,...

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Veröffentlicht in:	BMC infectious diseases Jg. 10; H. 1; S. 3
Hauptverfasser:	Dilantika, Charisma, Sedyaningsih, Endang R, Kasper, Matthew R, Agtini, Magdarina, Listiyaningsih, Erlin, Uyeki, Timothy M, Burgess, Timothy H, Blair, Patrick J, Putnam, Shannon D
Format:	Journal Article
Sprache:	Englisch
Veröffentlicht:	London BioMed Central 07.01.2010 BioMed Central Ltd BMC
Schlagworte:	Child, Preschool Complications and side effects Demographic aspects Diarrhea - epidemiology Diarrhea - virology Diarrhea in children Disease Outbreaks Distribution Feces - virology Female Humans Indonesia - epidemiology Infant Infectious Diseases Influenza Influenza A virus - isolation & purification Influenza B virus - isolation & purification Influenza, Human - epidemiology Internal Medicine Male Medical Microbiology Medicine Medicine & Public Health Parasitology Prevalence Research Article RNA, Viral - isolation & purification Tropical Medicine Indonesia Influenza Virus Infection Influenza Virus Throat Swab Influenza Stool Specimen
ISSN:	1471-2334, 1471-2334
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Abstract	Background Influenza is a major cause of morbidity and hospitalization among children. While less often reported in adults, gastrointestinal symptoms have been associated with influenza in children, including abdominal pain, nausea, vomiting, and diarrhea. Methods From September 2005 and April 2008, pediatric patients in Indonesia presenting with concurrent diarrhea and influenza-like illness were enrolled in a study to determine the frequency of influenza virus infection in young patients presenting with symptoms less commonly associated with an upper respiratory tract infection (URTI). Stool specimens and upper respiratory swabs were assayed for the presence of influenza virus. Results Seasonal influenza A or influenza B viral RNA was detected in 85 (11.6%) upper respiratory specimens and 21 (2.9%) of stool specimens. Viable influenza B virus was isolated from the stool specimen of one case. During the time of this study, human infections with highly pathogenic avian influenza A (H5N1) virus were common in the survey area. However, among 733 enrolled subjects, none had evidence of H5N1 virus infection. Conclusions The detection of influenza viral RNA and viable influenza virus from stool suggests that influenza virus may be localized in the gastrointestinal tract of children, may be associated with pediatric diarrhea and may serve as a potential mode of transmission during seasonal and epidemic influenza outbreaks.
AbstractList	Background Influenza is a major cause of morbidity and hospitalization among children. While less often reported in adults, gastrointestinal symptoms have been associated with influenza in children, including abdominal pain, nausea, vomiting, and diarrhea. Methods From September 2005 and April 2008, pediatric patients in Indonesia presenting with concurrent diarrhea and influenza-like illness were enrolled in a study to determine the frequency of influenza virus infection in young patients presenting with symptoms less commonly associated with an upper respiratory tract infection (URTI). Stool specimens and upper respiratory swabs were assayed for the presence of influenza virus. Results Seasonal influenza A or influenza B viral RNA was detected in 85 (11.6%) upper respiratory specimens and 21 (2.9%) of stool specimens. Viable influenza B virus was isolated from the stool specimen of one case. During the time of this study, human infections with highly pathogenic avian influenza A (H5N1) virus were common in the survey area. However, among 733 enrolled subjects, none had evidence of H5N1 virus infection. Conclusions The detection of influenza viral RNA and viable influenza virus from stool suggests that influenza virus may be localized in the gastrointestinal tract of children, may be associated with pediatric diarrhea and may serve as a potential mode of transmission during seasonal and epidemic influenza outbreaks. Influenza is a major cause of morbidity and hospitalization among children. While less often reported in adults, gastrointestinal symptoms have been associated with influenza in children, including abdominal pain, nausea, vomiting, and diarrhea. From September 2005 and April 2008, pediatric patients in Indonesia presenting with concurrent diarrhea and influenza-like illness were enrolled in a study to determine the frequency of influenza virus infection in young patients presenting with symptoms less commonly associated with an upper respiratory tract infection (URTI). Stool specimens and upper respiratory swabs were assayed for the presence of influenza virus. Seasonal influenza A or influenza B viral RNA was detected in 85 (11.6%) upper respiratory specimens and 21 (2.9%) of stool specimens. Viable influenza B virus was isolated from the stool specimen of one case. During the time of this study, human infections with highly pathogenic avian influenza A (H5N1) virus were common in the survey area. However, among 733 enrolled subjects, none had evidence of H5N1 virus infection. The detection of influenza viral RNA and viable influenza virus from stool suggests that influenza virus may be localized in the gastrointestinal tract of children, may be associated with pediatric diarrhea and may serve as a potential mode of transmission during seasonal and epidemic influenza outbreaks. Background Influenza is a major cause of morbidity and hospitalization among children. While less often reported in adults, gastrointestinal symptoms have been associated with influenza in children, including abdominal pain, nausea, vomiting, and diarrhea. Methods From September 2005 and April 2008, pediatric patients in Indonesia presenting with concurrent diarrhea and influenza-like illness were enrolled in a study to determine the frequency of influenza virus infection in young patients presenting with symptoms less commonly associated with an upper respiratory tract infection (URTI). Stool specimens and upper respiratory swabs were assayed for the presence of influenza virus. Results Seasonal influenza A or influenza B viral RNA was detected in 85 (11.6%) upper respiratory specimens and 21 (2.9%) of stool specimens. Viable influenza B virus was isolated from the stool specimen of one case. During the time of this study, human infections with highly pathogenic avian influenza A (H5N1) virus were common in the survey area. However, among 733 enrolled subjects, none had evidence of H5N1 virus infection. Conclusions The detection of influenza viral RNA and viable influenza virus from stool suggests that influenza virus may be localized in the gastrointestinal tract of children, may be associated with pediatric diarrhea and may serve as a potential mode of transmission during seasonal and epidemic influenza outbreaks. Influenza is a major cause of morbidity and hospitalization among children. While less often reported in adults, gastrointestinal symptoms have been associated with influenza in children, including abdominal pain, nausea, vomiting, and diarrhea.BACKGROUNDInfluenza is a major cause of morbidity and hospitalization among children. While less often reported in adults, gastrointestinal symptoms have been associated with influenza in children, including abdominal pain, nausea, vomiting, and diarrhea.From September 2005 and April 2008, pediatric patients in Indonesia presenting with concurrent diarrhea and influenza-like illness were enrolled in a study to determine the frequency of influenza virus infection in young patients presenting with symptoms less commonly associated with an upper respiratory tract infection (URTI). Stool specimens and upper respiratory swabs were assayed for the presence of influenza virus.METHODSFrom September 2005 and April 2008, pediatric patients in Indonesia presenting with concurrent diarrhea and influenza-like illness were enrolled in a study to determine the frequency of influenza virus infection in young patients presenting with symptoms less commonly associated with an upper respiratory tract infection (URTI). Stool specimens and upper respiratory swabs were assayed for the presence of influenza virus.Seasonal influenza A or influenza B viral RNA was detected in 85 (11.6%) upper respiratory specimens and 21 (2.9%) of stool specimens. Viable influenza B virus was isolated from the stool specimen of one case. During the time of this study, human infections with highly pathogenic avian influenza A (H5N1) virus were common in the survey area. However, among 733 enrolled subjects, none had evidence of H5N1 virus infection.RESULTSSeasonal influenza A or influenza B viral RNA was detected in 85 (11.6%) upper respiratory specimens and 21 (2.9%) of stool specimens. Viable influenza B virus was isolated from the stool specimen of one case. During the time of this study, human infections with highly pathogenic avian influenza A (H5N1) virus were common in the survey area. However, among 733 enrolled subjects, none had evidence of H5N1 virus infection.The detection of influenza viral RNA and viable influenza virus from stool suggests that influenza virus may be localized in the gastrointestinal tract of children, may be associated with pediatric diarrhea and may serve as a potential mode of transmission during seasonal and epidemic influenza outbreaks.CONCLUSIONSThe detection of influenza viral RNA and viable influenza virus from stool suggests that influenza virus may be localized in the gastrointestinal tract of children, may be associated with pediatric diarrhea and may serve as a potential mode of transmission during seasonal and epidemic influenza outbreaks. Abstract Background Influenza is a major cause of morbidity and hospitalization among children. While less often reported in adults, gastrointestinal symptoms have been associated with influenza in children, including abdominal pain, nausea, vomiting, and diarrhea. Methods From September 2005 and April 2008, pediatric patients in Indonesia presenting with concurrent diarrhea and influenza-like illness were enrolled in a study to determine the frequency of influenza virus infection in young patients presenting with symptoms less commonly associated with an upper respiratory tract infection (URTI). Stool specimens and upper respiratory swabs were assayed for the presence of influenza virus. Results Seasonal influenza A or influenza B viral RNA was detected in 85 (11.6%) upper respiratory specimens and 21 (2.9%) of stool specimens. Viable influenza B virus was isolated from the stool specimen of one case. During the time of this study, human infections with highly pathogenic avian influenza A (H5N1) virus were common in the survey area. However, among 733 enrolled subjects, none had evidence of H5N1 virus infection. Conclusions The detection of influenza viral RNA and viable influenza virus from stool suggests that influenza virus may be localized in the gastrointestinal tract of children, may be associated with pediatric diarrhea and may serve as a potential mode of transmission during seasonal and epidemic influenza outbreaks. Influenza is a major cause of morbidity and hospitalization among children. While less often reported in adults, gastrointestinal symptoms have been associated with influenza in children, including abdominal pain, nausea, vomiting, and diarrhea. From September 2005 and April 2008, pediatric patients in Indonesia presenting with concurrent diarrhea and influenza-like illness were enrolled in a study to determine the frequency of influenza virus infection in young patients presenting with symptoms less commonly associated with an upper respiratory tract infection (URTI). Stool specimens and upper respiratory swabs were assayed for the presence of influenza virus. Seasonal influenza A or influenza B viral RNA was detected in 85 (11.6%) upper respiratory specimens and 21 (2.9%) of stool specimens. Viable influenza B virus was isolated from the stool specimen of one case. During the time of this study, human infections with highly pathogenic avian influenza A (H5N1) virus were common in the survey area. However, among 733 enrolled subjects, none had evidence of H5N1 virus infection. The detection of influenza viral RNA and viable influenza virus from stool suggests that influenza virus may be localized in the gastrointestinal tract of children, may be associated with pediatric diarrhea and may serve as a potential mode of transmission during seasonal and epidemic influenza outbreaks.
ArticleNumber	3
Audience	Academic
Author	Dilantika, Charisma Burgess, Timothy H Sedyaningsih, Endang R Kasper, Matthew R Agtini, Magdarina Blair, Patrick J Putnam, Shannon D Listiyaningsih, Erlin Uyeki, Timothy M
AuthorAffiliation	1 Naval Medical Research Unit No. 2, Jakarta, Indonesia 2 Center for Biomedical and Pharmaceutical Research and Development, National Institute of Health Research and Development, Jakarta, MOH Indonesia 3 Epidemiology and Prevention Branch, Influenza Division, Centers for Disease Control and Prevention, Atlanta, Georgia, USA
AuthorAffiliation_xml	– name: 1 Naval Medical Research Unit No. 2, Jakarta, Indonesia – name: 3 Epidemiology and Prevention Branch, Influenza Division, Centers for Disease Control and Prevention, Atlanta, Georgia, USA – name: 2 Center for Biomedical and Pharmaceutical Research and Development, National Institute of Health Research and Development, Jakarta, MOH Indonesia
Author_xml	– sequence: 1 givenname: Charisma surname: Dilantika fullname: Dilantika, Charisma organization: Naval Medical Research Unit No. 2 – sequence: 2 givenname: Endang R surname: Sedyaningsih fullname: Sedyaningsih, Endang R organization: Center for Biomedical and Pharmaceutical Research and Development, National Institute of Health Research and Development – sequence: 3 givenname: Matthew R surname: Kasper fullname: Kasper, Matthew R email: kaspernamru2@yahoo.com organization: Naval Medical Research Unit No. 2 – sequence: 4 givenname: Magdarina surname: Agtini fullname: Agtini, Magdarina organization: Center for Biomedical and Pharmaceutical Research and Development, National Institute of Health Research and Development – sequence: 5 givenname: Erlin surname: Listiyaningsih fullname: Listiyaningsih, Erlin organization: Naval Medical Research Unit No. 2 – sequence: 6 givenname: Timothy M surname: Uyeki fullname: Uyeki, Timothy M organization: Epidemiology and Prevention Branch, Influenza Division, Centers for Disease Control and Prevention – sequence: 7 givenname: Timothy H surname: Burgess fullname: Burgess, Timothy H organization: Naval Medical Research Unit No. 2 – sequence: 8 givenname: Patrick J surname: Blair fullname: Blair, Patrick J organization: Naval Medical Research Unit No. 2 – sequence: 9 givenname: Shannon D surname: Putnam fullname: Putnam, Shannon D organization: Naval Medical Research Unit No. 2
BackLink	https://www.ncbi.nlm.nih.gov/pubmed/20053294$$D View this record in MEDLINE/PubMed
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Snippet	Background Influenza is a major cause of morbidity and hospitalization among children. While less often reported in adults, gastrointestinal symptoms have been... Influenza is a major cause of morbidity and hospitalization among children. While less often reported in adults, gastrointestinal symptoms have been associated... Background Influenza is a major cause of morbidity and hospitalization among children. While less often reported in adults, gastrointestinal symptoms have been... Abstract Background Influenza is a major cause of morbidity and hospitalization among children. While less often reported in adults, gastrointestinal symptoms...
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SubjectTerms	Child, Preschool Complications and side effects Demographic aspects Diarrhea - epidemiology Diarrhea - virology Diarrhea in children Disease Outbreaks Distribution Feces - virology Female Humans Indonesia - epidemiology Infant Infectious Diseases Influenza Influenza A virus - isolation & purification Influenza B virus - isolation & purification Influenza, Human - epidemiology Internal Medicine Male Medical Microbiology Medicine Medicine & Public Health Parasitology Prevalence Research Article RNA, Viral - isolation & purification Tropical Medicine
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Title	Influenza virus infection among pediatric patients reporting diarrhea and influenza-like illness
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