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- Marsha D. Spitzer, MD
- Guam Memorial Hospital
Tamuning, Guam
Rotavirus is the most commonly recognized viral pathogen that produces diarrheal disease in children and the most common cause of severe gastroenteritis requiring hospitalization. However, a number of other viruses can cause diarrhea, and their clinical manifestations are important to recognize in the care of children who have gastroenteritis. The viruses include adenovirus, Norwalk virus, astrovirus, and calicivirus.
Some generalizations can be made about viral diarrheal disease in infants and young children. Incubation periods are brief, usually 1 to 3 days. Infections can be asymptomatic, but if diarrhea develops, it frequently is associated with vomiting and fever. With the exception of rotavirus, the diarrhea produced by viral infection typically is mild to moderate. If stool studies are performed, they …
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