We examined serum phosphate levels in children with acute gastroenteritis. Of 107 children with documented etiology, 36 had shigellosis, 34 had salmonella gastroenteritis and 37 had rotavirus gastroenteritis. Children with culture-proven shigellosis had significantly lower serum phosphate levels (3.7 ± 0.1 mg/dL) than children with salmonella gastroenteritis (4.0 ± 0.2 mg/dL, p = 0.041) or with rotavirus (4.5 ± 0.2, p = 0.0014). Hypophosphatemia was found in 39%, 6%, and 3% of children with shigella, salmonella, or rotavirus gastroenteritis, respectively. These differences were statistically significant. This is the first report of hypophosphatemia during childhood shigellosis; this electrolyte abnormality may play a role in the other manifestations of shigellosis.
|Number of pages||3|
|State||Published - 1998|