{"id":2965,"date":"2024-04-29T09:40:30","date_gmt":"2024-04-29T07:40:30","guid":{"rendered":"https:\/\/germanclinic.es\/?p=2965"},"modified":"2026-04-23T11:00:35","modified_gmt":"2026-04-23T09:00:35","slug":"case-presentation","status":"publish","type":"post","link":"https:\/\/germanclinic.es\/en\/case-presentation\/","title":{"rendered":"Case presentation"},"content":{"rendered":"

A 3-year-old female patient presented with severe abdominal pain that had been recurring for 8 days.<\/span><\/p>\n

She had already visited the paediatric emergency department twice in the previous 4 days. A urine test and an abdominal ultrasound were unremarkable. Suspecting constipation, the patient was sent home with a laxative (Macrogol) and painkillers. Two weeks before the current episode, the patient had diarrhoea and fever for 2 days.<\/span><\/p>\n

The patient suffered from abdominal pain, especially at night. She woke up 2\u20133 times per night with severe pain and, according to her parents, a hard abdomen. Painkillers such as ibuprofen and paracetamol brought no improvement. There was no fever, vomiting or diarrhoea at that time. Eating and drinking behaviour was normal. The girl was fully immunised according to German recommendations.<\/span><\/p>\n

The physical examination revealed an active and cheerful child, with no significant findings. The abdomen was soft on palpation, with increased bowel sounds.<\/span><\/p>\n

An ultrasound scan showed bowel loops filled with faeces and fluid, as well as a small amount of free fluid.<\/span><\/p>\n

Gastroenteritis, i.e. a gastrointestinal infection, was suspected. The patient was evaluated within the paediatrics department in Marbella<\/a>. A PCR stool test was performed and returned positive for rotavirus, confirming the diagnosis.<\/span><\/p>\n

Rotaviruses<\/strong> are transmitted via various routes:<\/p>\n