Abdominal Pain Clinical Trial
Official title:
Frequency of Putative Enteric Zoster Diagnosed Using Saliva Samples in Patients With Abdominal Pain: a Prospective Study
The aim of this study is to identify the frequency of enteric zoster using salivary varicella zoster virus (VZV) DNA PCR in patients who visit the emergency room due to acute abdominal pain.
Varicella zoster virus (VZV) infects and establishes latency in neurons in the ganglia of the
cranial nerve, dorsal root, and enteric ganglia. VZV reactivation in enteric neurons (enteric
zoster) can cause nonspecific abdominal pain and/or serious gastrointestinal dysfunction
without cutaneous manifestations. Detection of VZV DNA in saliva may be useful for
identifying enteric zoster. We evaluated the frequency of putative enteric zoster based on
the presence of salivary VZV DNA in patients with acute abdominal pain.
Adult patients who visited the emergency room due to moderate to severe acute abdominal pain
were prospectively enrolled at a tertiary hospital between May 2019 and November 2019.
Abdominopelvic computed tomography (APCT) was performed in all patients. Saliva samples were
collected from all studied patients. Enteric zoster was suspected based on the presence of
salivary VZV DNA, detected using real-time polymerase chain reaction (PCR).
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