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 Original Articles |
| Stool Electrolytes in Human Rotavirus Infection |
| Jong Soo Lee, Chin Moo Kang, Jae Ryong Kim* |
| Department of Pediatrics, Keimyung University, School of Medicine, Taegu, Korea |
Vol.21 Num.1 (p15~20)
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Human rotavirum(HRV) is the single most important cause of childhood gastroenteritis. Symptoms of the disease are vomiting, diarrhea and dehydration. For the treatment of this condition, the fluid and eletrolytes balance is the most important. This study was carried out in order to support the electrolytes therapy in HRV infection.
The author analized serum and stool electrolytes of the patients being admitted to thedepartment of Pediatrics, Keimyung University, Dong San Hospital from October 1986 to December 1987 with the HRV infection (25 cases), bacterial diarrhea (35 cases) and control group (20 cases) and obtained the following results.
The mean value of stool sodium in HRV infection was 35.8 ± 17.9 mEq/L, 47.0 ± 21.8 mEq/L in bacterial diarrhea and 22.4 ± 6.5 mEq/L control group.
The mean value of stool potassium in HRV infection, bacterial diarrhea and control group was 19.2 ± 5.3 mEq/L, 24.2 ± 8.8 mEq/L and 18.6 ± 5.7 mEq/L respectively.
The mean value of serum sodium in HRV infection, bacterial diarrhea, and control group was 136.0 ± 3.5 mEq/L, 133.3 ± 3.8 mEq/L and 139.1 ± 2.0 mEq/L and the serum potassium was 3.9 ± 0.5 mEq/L, 4.0 ± 0.5 mEq/L and 4.3 ± 0.6 mEq/L respectively.
In HRV infection, the stool sodium had close relation with the serum sodium level and the fecal excretion of sodium was increased as the frequency of diarrhea increased. The potassium level did not show any specific relationship.
In HRV infection, the fecal excretion of sodium was higher than the normal control and the sodium was the main electrolyte concerned which had the close relationship with the frequency of the diarrhea.
For the electrolytes therapy of HRV infection, the sodium supplement has more important role among others.
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