Ribavirin-resistant chronic norovirus infection-associated enteropathy in common variable immunodeficiency. Case report and review of the literature.

Clin Res Hepatol Gastroenterol

Gastroenterology Unit, Hospital Universitario Son Llàtzer, Instituto de Investigación Sanitaria de las Islas Baleares (IdISba), Carretera. Manacor Km 4, Palma de Mallorca 07198, Spain.

Published: October 2022

Chronic Norovirus infection is particularly challenging in patients with common variable immunodeficiency (CVID) because of their inability to achieve viral clearance and the risk of developing enteropathy leading to intestinal villous atrophy and malabsorption. To date, therapeutic options to eliminate the virus are limited and only ribavirin has been shown to induce viral clearance in norovirus enteropathy associated with CVID. We report a case of a 48-year-old female patient diagnosed with CVID enteropathy possibly related to norovirus infection who failed a ribavirin-based therapy despite dosage optimization through drug plasma level monitoring.

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.clinre.2022.101956DOI Listing

Publication Analysis

Top Keywords

chronic norovirus
8
variable immunodeficiency
8
norovirus infection
8
viral clearance
8
ribavirin-resistant chronic
4
norovirus
4
norovirus infection-associated
4
enteropathy
4
infection-associated enteropathy
4
enteropathy common
4

Similar Publications

Background: Pertussis is a highly contagious respiratory tract infection that affects all ages, though it is most severe in young infants. Adults, especially those with respiratory conditions or other chronic illnesses can also suffer serious consequences of pertussis. Pertussis vaccination is the best method of disease prevention in a lifetime.

View Article and Find Full Text PDF

Salivary Antibody Responses to Potentially Waterborne and Environmentally Transmitted Infections Among Two Tribal Nations in the Southwest United States.

J Epidemiol Glob Health

December 2024

Office of Research and Development, United States Environmental Protection Agency, Research Triangle Park, NC, USA.

Article Synopsis
  • * A total of 531 saliva samples were analyzed from two Tribal Nation festivals and compared with 453 samples previously collected in the Midwest, employing logistic and linear regression models.
  • * Results indicated varying seroprevalences of specific infections, with higher antibody responses to certain noroviruses and unique associations between lifestyle factors (like water consumption and animal contact) and infection rates in the Tribal populations.
View Article and Find Full Text PDF

Case study: May human norovirus infection be associated with premature delivery?

Virol Sin

December 2024

Department of Microbiology, School of Basic Medical Sciences, Capital Medical University, Beijing, 100069, China. Electronic address:

Article Synopsis
  • Human norovirus (HuNoV) is a major cause of gastroenteritis and poses additional risks for pregnant women, especially those with immune deficiencies.
  • A recent study examined four pregnant women infected with HuNoV who experienced premature rupture of membranes, indicating potential complications.
  • Findings revealed significant pathological changes in the fetal membranes and placenta, suggesting a possible link between HuNoV infection and adverse pregnancy outcomes, warranting further clinical attention.
View Article and Find Full Text PDF

Background: While diarrhoeal disease remains a leading cause of death in children aged <5 years in low- and middle-income countries (LMICs), it also poses significant health risks for older children, underscoring the importance of our study focusing on children aged <10 years. In this systematic review, we assessed common diarrhoea aetiologies in children aged <10 years in LMICs.

Methods: We identified relevant articles in PubMed, Embase, and Web of Science using pre-defined search criteria.

View Article and Find Full Text PDF
Article Synopsis
  • Human noroviruses (HuNoVs) are key contributors to diarrhea outbreaks worldwide, and studying them was difficult due to a lack of effective culture methods.
  • Recent advancements in cultivating various HuNoV strains in human intestinal enteroids (HIEs) have greatly improved research into their replication and disease mechanisms.
  • The research showed that different types of HIEs, particularly those from small intestines and genetically modified lines, have varying levels of susceptibility to HuNoV infection, revealing insights into how these viruses affect human health.
View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!