4.7 Article

Symptomatic Infection and Detection of Vaccine and Vaccine-Reassortant Rotavirus Strains in 5 Children: A Case Series

Journal

JOURNAL OF INFECTIOUS DISEASES
Volume 206, Issue 8, Pages 1275-1279

Publisher

OXFORD UNIV PRESS INC
DOI: 10.1093/infdis/jis490

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Funding

  1. Texas Department of State Health Services
  2. Texas Children's Hospital
  3. Centers for Disease Control and Prevention [CDC-RFA-CI07-70405ARRA09]

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Vaccine or vaccine-reassortant rotavirus strains were detected in fecal specimens from 5 of 106 (4.7%) immunocompetent children who required treatment for rotavirus gastroenteritis at a large pediatric hospital in Texas in 2009-2010. Four strains were related to pentavalent rotavirus vaccine, whereas one was related to monovalent rotavirus vaccine. The contribution of these strains to each patient's illness was unclear given that 2 patients had prominent respiratory symptoms and 2 were concurrently infected with another pathogen (group F adenovirus and norovirus). Continued monitoring is necessary to assess the role of vaccine strains and vaccine-reassortant strains in pediatric rotavirus infections.

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