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Gastroenteritis viral - Symptom

Nombres alternativos

Virus de Norwalk; Infección por rotavirus; Gripe estomacal

Síntomas:

Otros síntomas pueden ser:

Escalofríos
Piel fría y húmeda
Sudoración excesiva
Fiebre
Rigidez articular
Escape (incontinencia) de heces
Dolor muscular
Alimentación deficiente
Vómito con sangre (muy raro)
Pérdida de peso

Signos y exámenes:

El médico buscará signos de que el cuerpo no tiene suficiente agua (deshidratación), como:

Boca seca o pegajosa
Estado letárgico o comatoso (deshidratación severa)
Hipotensión arterial
Ausencia o baja diuresis; la orina concentrada luce de color amarillo oscuro
Puntos blandos (fontanelas) notoriamente hundidos en la parte superior de la cabeza de un bebé
Ausencia de lágrimas
Ojos hundidos

Se pueden emplear exámenes para evaluar las muestras de materia fecal con el fin de identificar el virus específico. Esto normalmente no se necesita para la gastroenteritis viral. Se puede hacer un coprocultivo para identificar una causa bacteriana para la diarrea.

El sistema digestivo

Órganos del sistema digestivo

Reviewed last on: 4/12/2010
Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Divison of Physician Assistant STudies, University of Washington School of Medicine; and George F. Longstreth, MD, Department of Gastroenterology, Kaiser Permanente Medical Care Program, San Diego, CA. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

Craig SA, Zich DK. Gastroenteritis. In: Mark JA, ed. Rosen's Emergency Medicine: Concepts and Clinical Practice. 7th ed. Philadelphia, Pa: Mosby Elsevier;2009:chap 92.

Zulfigar AB. Acute gastroenteritis in children. In: Kliegman RM, Behrman RE, Jenson HB, Stanton BF, eds. Nelson Textbook of Pediatrics. 18th ed. Philadelphia, Pa: Saunders Elsevier;2007:chap 337.

Cortese MM, Parashar UD. Prevention of rotavirus gastroenteritis among infants and children: recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR. 2009;58:1-25.

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