• Na-Ying Zuo, Yuan-da Zhang, Qing-Wei Dong, and Li-Po Han.
• Na-ying Zuo, Department of Gastroenterology, Baoding Children's Hospital, Baoding, Hebei, 071000, P.R. China; Key Laborary of Clinical Research on Respiratory Digestive Disease, Hebei Baoding, 071000, China.
• Pak J Med Sci. 2020 Sep 1; 36 (6): 1366-1370.

ObjectiveTo investigate the relationship between myocardial enzymes, liver function and metabolic acidosis in children with rotavirus infection diarrhea.MethodsThe data of 70 children with infectious diarrhea treated in Baoding Children's Hospital, China, from October 2017 to April 2018 were retrospectively studied. The antigen of rotavirus in feces was positive by colloidal gold method. According to the clinical features of biochemical indicators and mental status, the patients were divided into four groups, an acidosis-free group, a mild acidosis group, a moderate acidosis group and a severe acidosis group, in line with acidosis severity. In addition to detecting the hepatic functions of the pediatric patients in the four groups, including aspartate aminotransferase (AST), alanine aminotransfer (ALT) levels, and myocardial enzyme levels (e.g., creatine kinase, or CK, and creatine kinase isoenzyme, or CK-MB), the relationships of hepatic function, myocardial enzyme levels and acidosis severity of the patients with infectious diarrhea caused by rotavirus infection were also analyzed.ResultsThere was no significant difference in sex and age among the four groups (P>0.05). However, there was a significant difference in the frequency of diarrhea and vomiting (p<0.05). In addition, there were significant differences in creatine kinase, CK-MB, AST and ALT levels in children with metabolic acidosis of different severities.ConclusionWith the aggravation of metabolic acidosis, infectious diarrhea caused by rotavirus is characterized by the aggravation of hepatic function and myocardial cells.Copyright: © Pakistan Journal of Medical Sciences.

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