Rossijskij Vestnik Perinatologii i Pediatrii (Dec 2021)

Clinical characteristics and cellular immunity in children with rotavirus infection

  • S. G. Gorbunov,
  • L. N. Mazankova,
  • A. N. Oskin,
  • S. A. Lugovskaya,
  • E. V. Naumova,
  • M. E. Pochtar

DOI
https://doi.org/10.21508/1027-4065-2021-66-5-75-81
Journal volume & issue
Vol. 66, no. 5
pp. 75 – 81

Abstract

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Objective. To determine clinical course and state of cellular immunity in young children with rotavirus infection.Children characteristics and research methods. The scientists examined children without infectious pathology and with rotavirus infection (20 patients in each group) using general clinical methods. Rotavirus infection was diagnosed by polymerase chain reaction and immunochromatography. Cellular immunity parameters were determined by flow cytometry.Results. All the children under observation had a moderate form of the disease with symptoms of exsicosis of the II degree. Changes in the immune status were mainly of a regulatory, adaptive nature, which contributed to the favorable course of rotavirus infection in children, however, the dynamics of the number of cells expressing Toll-like receptors indicates the immunosuppressive properties of rotavirus.Conclusion. Currently, rotavirus infection in young children is typical with watery diarrhea as the most pronounced and long-lasting clinical symptom. Shifts in immunogram indices in general indicate a deficiency of the cellular link of immunity and a violation of its regulation with simultaneous activation of the immune system in an effort to achieve the eradication of the rotavirus with immunosuppressive properties.

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