Enteric virus infections and diarrhea in healthy and human immunodeficiency virus-infected children

J Clin Microbiol. 2000 Aug;38(8):2873-7. doi: 10.1128/JCM.38.8.2873-2877.2000.

Abstract

Forty-three stool samples from 27 human immunodeficiency virus (HIV)-seropositive children and 38 samples from 38 HIV-negative children, collected during a 15-month period, were examined for enteric viruses. Diagnostic assays included enzyme immunoassays for rotavirus, adenovirus, and Norwalk virus; polyacrylamide gel electrophoresis for picobirnavirus and atypical rotavirus; and PCR for astrovirus and enterovirus. Specimens from HIV-positive children were more likely than those of HIV-negative children to have enterovirus (56 versus 21%; P < 0.0002) and astrovirus (12 versus 0%; P < 0.02), but not rotavirus (5 versus 8%; P > 0.5). No adenoviruses, picobirnaviruses, or Norwalk viruses were found. The rates of virus-associated diarrhea were similar among HIV-positive and HIV-negative children. Enteroviruses were excreted for up to 6 months in HIV-positive children; however, no evidence for prolonged excretion of poliovirus vaccine was observed. These results suggest that although infection with enterovirus and astrovirus may be frequent in HIV-infected children, enteric viruses are not associated with the diarrhea frequently suffered by these children.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adenovirus Infections, Human / complications
  • Adenovirus Infections, Human / virology
  • Adenoviruses, Human / isolation & purification
  • Child, Preschool
  • Diarrhea / complications
  • Diarrhea / virology*
  • Enterovirus / genetics
  • Enterovirus / isolation & purification
  • Enterovirus Infections / complications*
  • Enterovirus Infections / virology
  • Feces / virology
  • HIV Infections / complications*
  • HIV Infections / virology
  • Humans
  • Infant
  • Infant, Newborn
  • Mamastrovirus / genetics
  • Mamastrovirus / isolation & purification
  • Molecular Sequence Data
  • RNA Virus Infections / complications*
  • RNA Virus Infections / virology
  • RNA Viruses / genetics
  • RNA Viruses / isolation & purification

Associated data

  • GENBANK/AF211952
  • GENBANK/AF211953
  • GENBANK/AF211954
  • GENBANK/AF211955