Commonest virus causing diarrhea in infants is: September 2006
First, I should recall the core concept here. Rotavirus is known as the leading cause of severe diarrhea in infants and young children worldwide. It's part of the Reoviridae family and is highly contagious. The question is testing knowledge of viral gastroenteritis in pediatrics.
Why is rotavirus the correct answer? Well, rotavirus infects the mature enterocytes in the small intestine, leading to malabsorption and osmotic diarrhea. It's a major cause of dehydration and hospitalization in infants under 5 years old. The virus is transmitted via the fecal-oral route and is particularly prevalent in daycare settings. There's also a vaccine available now, which has reduced the incidence, but before vaccination, it was the commonest.
Now, the other options. Let's consider possible distractors. Adenovirus can cause diarrhea, but it's less common than rotavirus. Norovirus is another possibility, but it's more associated with adults and outbreaks in closed settings like cruise ships. Astrovirus is another cause, but again, not the most common in infants. Enteroviruses can cause various symptoms, but not specifically the most common diarrhea in infants.
The clinical pearl here is that rotavirus is the top on the list for pediatric diarrhea. Remembering that it's the leading cause is key. Also, the vaccine's impact is important for understanding current trends, but the question is about the commonest virus, which remains rotavirus even with vaccination efforts.
Need to structure the explanation with the required sections. Make sure each part is concise but covers the necessary points. Check character count to stay within the limit. Avoid markdown except for the specified bold labels and sections. Use precise terminology like "rotavirus," "Reoviridae family," "enterocytes," "malabsorption," etc.
**Core Concept**
Rotavirus is the leading cause of severe, acute gastroenteritis in infants and young children globally. It primarily affects the small intestine's mature enterocytes, causing osmotic diarrhea due to impaired nutrient absorption. This question tests knowledge of pediatric viral enteric pathogens.
**Why the Correct Answer is Right**
Rotavirus belongs to the Reoviridae family and is transmitted via the fecal-oral route. It replicates in the villus epithelium of the small intestine, leading to villous atrophy, malabsorption, and profuse, watery diarrhea. It is the most common cause of dehydration requiring hospitalization in children under 5 years. Despite widespread vaccination, it remains the most frequent pathogen in unvaccinated populations.
**Why Each Wrong Option is Incorrect**
**Option A:** Adenovirus (type 40/41) causes diarrhea but is less common than rotavirus in infants.
**Option B:** Norovirus is a major cause in adults and older children, often linked to outbreaks in closed settings.
**Option C:** Astrovirus causes mild diarrhea, predominantly in older children and immunocompromised individuals.
**Option D:** Enteroviruses (e.g., coxsackievirus) are not primary causes of infantile diarrhea.
**Clinical Pearl / High-Yield Fact