Reoviruses Treatment & Management

  • Author: Gholamreza Rasouli, MD; Chief Editor: Burke A Cunha, MD   more...
 
Updated: Dec 2, 2011
 

Medical Care

  • Reovirus: No specific treatment or prevention measures have been recommended for reovirus infections in humans because of the lack of definitive association with disease.
  • Colorado tick fever: Ribavirin may merit consideration in the appropriate clinical setting. Bed rest, fluids, and antipyretics are recommended as symptomatic therapy.
  • Rotavirus: Treatment of rotavirus gastroenteritis consists of restoring the fluid loss in dehydrated patients. Emphasis has shifted from intravenous to oral rehydration using glucose electrolyte solutions. The solution recommended by the World Health Organization (WHO) contains 30 mEq/L of sodium, 30 mEq/L of potassium, and 30 mEq of bicarbonate. In cases of severe dehydration, intravenous solutions can be used. Antimotility drugs are rarely indicated in children with gastroenteritis because the potential risks outweigh the benefits.
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Diet

Start feeding within 24 hours of rotavirus gastroenteritis. This includes breast milk or diluted formula or milk in infants and lactose-free, carbohydrate-rich foods in older children. Fruit juice and soft drinks are not recommended because of their low sodium and high glucose concentrations.

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Contributor Information and Disclosures
Author

Gholamreza Rasouli, MD  Fellow, Department of Medicine, Division of Infectious Diseases, Louisiana State University Medical Center at Shreveport

Gholamreza Rasouli, MD is a member of the following medical societies: American College of Physicians-American Society of Internal Medicine and American Medical Association

Disclosure: Nothing to disclose.

Coauthor(s)

John W King, MD  Professor of Medicine, Chief, Section of Infectious Diseases, Director, Viral Therapeutics Clinics for Hepatitis, Louisiana State University Health Sciences Center; Consultant in Infectious Diseases, Overton Brooks Veterans Affairs Medical Center

John W King, MD is a member of the following medical societies: American Association for the Advancement of Science, American College of Physicians, American Federation for Medical Research, American Society for Microbiology, Association of Subspecialty Professors, Infectious Diseases Society of America, and Sigma Xi

Disclosure: emedicine $50.00 Author of chapter; MERCK None Other

Specialty Editor Board

Wesley W Emmons, MD, FACP  Assistant Professor, Department of Medicine, Thomas Jefferson University; Consulting Staff, Infectious Diseases Section, Department of Internal Medicine, Christiana Care, Newark, DE

Wesley W Emmons, MD, FACP is a member of the following medical societies: American College of Physicians, American Medical Association, American Society of Tropical Medicine and Hygiene, Infectious Diseases Society of America, and International AIDS Society

Disclosure: Nothing to disclose.

Francisco Talavera, PharmD, PhD  Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Medscape Salary Employment

Aaron Glatt, MD  Professor of Clinical Medicine, New York Medical College; President and CEO, Former Chief Medical Officer, Departments of Medicine and Infectious Diseases, St Joseph Hospital (formerly New Island Hospital)

Aaron Glatt, MD is a member of the following medical societies: American College of Chest Physicians, American College of Physician Executives, American College of Physicians, American College of Physicians-American Society of Internal Medicine, American Medical Association, American Society for Microbiology, American Thoracic Society, American Venereal Disease Association, Infectious Diseases Society of America, International AIDS Society, and Society for Healthcare Epidemiology of America

Disclosure: Nothing to disclose.

Eleftherios Mylonakis, MD  Clinical and Research Fellow, Department of Internal Medicine, Division of Infectious Diseases, Massachusetts General Hospital

Eleftherios Mylonakis, MD is a member of the following medical societies: American Association for the Advancement of Science, American College of Physicians, American Society for Microbiology, and Infectious Diseases Society of America

Disclosure: Nothing to disclose.

Chief Editor

Burke A Cunha, MD  Professor of Medicine, State University of New York School of Medicine at Stony Brook; Chief, Infectious Disease Division, Winthrop-University Hospital

Burke A Cunha, MD is a member of the following medical societies: American College of Chest Physicians, American College of Physicians, and Infectious Diseases Society of America

Disclosure: Nothing to disclose.

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