Gastroenteritis por rotavirus y coinfección bacteriana en un paciente inmunocompetente de 60 años. Reporte de caso

Abstract

Introduction: rotavirus gastroenteritis is an uncommon disease in adults, it occurs after contact with infected children. In addition to being underdiagnosed, it is rare that it occurs with a bacterial coinfection.Clinical case: It is a case of a 60-year-old patient, with a history of contact with a pediatric patient. This person presents diffuse abdominal pain accompanied by diarrhea, vomiting, and abdominal distention. Filiform and weak pulse, cold extremities with capillary filling greater than 3 seconds. Moderate dehydration is diagnosed. Renal function markers (creatinine and urea) were requested, which were increased; stool examination showed increased polymorphonuclear cells and positive for rotavirus antigens.Conclusion: rotavirus gastroenteritis and bacte-rial coinfection lead moderate to severe dehydra-tion and renal failure. It should be emphasized that the values of renal markers such as creatinine and urea alone do not indicate renal damage, but they do indicate a decrease in renal function, which must be treated immediately with fluid restitution to avoid irreversible damage.