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. 1981 Feb;22(2):114–119. doi: 10.1136/gut.22.2.114

Lactose tolerance in lambs with rotavirus diarrhoea.

A Ferguson, G Paul, D R Snodgrass
PMCID: PMC1419231  PMID: 6260597

Abstract

It has been suggested that lactose malabsorption is an important factor in producing the diarrhoea of acute rotavirus infection. Accordingly, the lactose tolerance of gnotobiotic newborn lambs, infected with lamb rotavirus, has been investigated by clinical studies and tissue enzyme assays. Although lactase activity is low in affected areas of the small intestine, rotavirus infected lambs are not lactose intolerant as assessed by the measurement of reducing substances in the faeces, or by the clinical effects and blood glucose levels after a 5.8 mmol (2 g)/kg lactose load on the second day post-infection. Lactose intolerance could be demonstrated by using extremely high (29.2 mmol (10 g)/kg) doses of lactose, three or four times the normal dietary lactose intake. These experiments suggest that lactose-containing feeds (such as maternal milk) are not necessarily contraindicated in patients or animals with rotavirus diarrhoea.

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Selected References

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  1. Acute infectious nonbacterial gastroenteritis: etiology and pathogenesis. Ann Intern Med. 1972 Jun;76(6):993–1008. doi: 10.7326/0003-4819-76-6-993. [DOI] [PubMed] [Google Scholar]
  2. Agus S. G., Dolin R., Wyatt R. G., Tousimis A. J., Northrup R. S. Acute infectious nonbacterial gastroenteritis: intestinal histopathology. Histologic and enzymatic alterations during illness produced by the Norwalk agent in man. Ann Intern Med. 1973 Jul;79(1):18–25. doi: 10.7326/0003-4819-79-1-18. [DOI] [PubMed] [Google Scholar]
  3. Bishop R. F., Davidson G. P., Holmes I. H., Ruck B. J. Virus particles in epithelial cells of duodenal mucosa from children with acute non-bacterial gastroenteritis. Lancet. 1973 Dec 8;2(7841):1281–1283. doi: 10.1016/s0140-6736(73)92867-5. [DOI] [PubMed] [Google Scholar]
  4. DAHLQVIST A. METHOD FOR ASSAY OF INTESTINAL DISACCHARIDASES. Anal Biochem. 1964 Jan;7:18–25. doi: 10.1016/0003-2697(64)90115-0. [DOI] [PubMed] [Google Scholar]
  5. Davidson G. P., Barnes G. L. Structural and functional abnormalities of the small intestine in infants and young children with rotavirus enteritis. Acta Paediatr Scand. 1979 Mar;68(2):181–186. doi: 10.1111/j.1651-2227.1979.tb04986.x. [DOI] [PubMed] [Google Scholar]
  6. Davidson G. P., Gall D. G., Petric M., Butler D. G., Hamilton J. R. Human rotavirus enteritis induced in conventional piglets. Intestinal structure and transport. J Clin Invest. 1977 Dec;60(6):1402–1409. doi: 10.1172/JCI108901. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Flewett T. H., Woode G. N. The rotaviruses. Arch Virol. 1978;57(1):1–23. doi: 10.1007/BF01315633. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Gribbin M., Walker-Smith J., Wood C. Delayed recovery following acute gastroenteritis. Acta Paediatr Belg. 1976 Jul-Sep;29(3):167–176. [PubMed] [Google Scholar]
  9. Hamilton J. R., Gall D. G., Butler D. G., Middleton P. J. Viral gastroenteritis: recent progress, remaining problems. Ciba Found Symp. 1976;(42):209–222. doi: 10.1002/9780470720240.ch12. [DOI] [PubMed] [Google Scholar]
  10. Harrison M., Kilby A., Walker-Smith J. A., France N. E., Wood C. B. Cows' milk protein intolerance: a possible association with gastroenteritis, lactose intolerance, and IgA deficiency. Br Med J. 1976 Jun 19;1(6024):1501–1504. doi: 10.1136/bmj.1.6024.1501. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Harrison M., Walker-Smith J. A. Reinvestigation of lactose intolerant children: lack of correlation between continuing lactose intolerance and small intestinal morphology, disaccharidase activity, and lactose tolerance tests. Gut. 1977 Jan;18(1):48–52. doi: 10.1136/gut.18.1.48. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Iyngkaran N., Robinson M. J., Sumithran E., Lam S. K., Puthucheary S. D., Yadav M. Cows' milk protein-sensitive enteropathy. An important factor in prolonging diarrhoea of acute infective enteritis in early infancy. Arch Dis Child. 1978 Feb;53(2):150–153. doi: 10.1136/adc.53.2.150. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. KERRY K. R., ANDERSON C. M. A WARD TEST FOR SUGAR IN FAECES. Lancet. 1964 May 2;1(7340):981–981. doi: 10.1016/s0140-6736(64)91777-5. [DOI] [PubMed] [Google Scholar]
  14. Kelly M., Butler D. G., Hamilton J. R. Transmissible gastroenteritis in piglets: a model of infantile viral diarrhea. J Pediatr. 1972 Jun;80(6):925–931. doi: 10.1016/S0022-3476(72)80003-9. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Kerzner B., Kelly M. H., Gall D. G., Butler D. G., Hamilton J. R. Transmissible gastroenteritis: sodium transport and the intestinal epithelium during the course of viral enteritis. Gastroenterology. 1977 Mar;72(3):457–461. [PubMed] [Google Scholar]
  16. Lewis H. M., Parry J. V., Davies H. A., Parry R. P., Mott A., Dourmashkin R. R., Sanderson P. J., Tyrrell D. A., Valman H. B. A year's experience of the rotavirus syndrome and its association with respiratory illness. Arch Dis Child. 1979 May;54(5):339–346. doi: 10.1136/adc.54.5.339. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. McNulty M. S. Rotaviruses. J Gen Virol. 1978 Jul;40(1):1–18. doi: 10.1099/0022-1317-40-1-1. [DOI] [PubMed] [Google Scholar]
  18. Pearson G. R., McNulty M. S., Logan E. F. Pathological changes in the small intestine of neonatal calves naturally infected with reo-like virus (rotavirus). Vet Rec. 1978 May 27;102(21):454–458. doi: 10.1136/vr.102.21.454. [DOI] [PubMed] [Google Scholar]
  19. Rey J., Schmitz J., Rey F., Jos J. Cellular differentiation and enzymatic deficits. Lancet. 1971 Jul 24;2(7717):218–218. doi: 10.1016/s0140-6736(71)90932-9. [DOI] [PubMed] [Google Scholar]
  20. Sack D. A., Chowdhury A. M., Eusof A., Ali M. A., Merson M. H., Islam S., Black R. E., Brown K. H. Oral hydration rotavirus diarrhoea: a double blind comparison of sucrose with glucose electrolyte solution. Lancet. 1978 Aug 5;2(8084):280–283. doi: 10.1016/s0140-6736(78)91687-2. [DOI] [PubMed] [Google Scholar]
  21. Shepherd R. W., Gall D. G., Butler D. G., Hamilton J. R. Determinants of diarrhea in viral enteritis. The role of ion transport and epithelial changes in the ileum in transmissible gastroenteritis in piglets. Gastroenterology. 1979 Jan;76(1):20–24. doi: 10.1016/S0016-5085(79)80122-5. [DOI] [PMC free article] [PubMed] [Google Scholar]
  22. Shepherd R. W., Truslow S., Walker-Smith J. A., Bird R., Cutting W., Darnell R., Barker C. M. Infantile gastroenteritis: a clinical study of reovirus-like agent infection. Lancet. 1975 Nov 29;2(7944):1082–1084. doi: 10.1016/s0140-6736(75)90446-8. [DOI] [PubMed] [Google Scholar]
  23. Snodgrass D. R., Angus K. W., Gray E. W. Rotavirus infection in lambs: pathogenesis and pathology. Arch Virol. 1977;55(4):263–274. doi: 10.1007/BF01315048. [DOI] [PubMed] [Google Scholar]
  24. Snodgrass D. R., Ferguson A., Allan F., Angus K. W., Mitchell B. Small intestinal morphology and epithelial cell kinetics in lamb rotavirus infections. Gastroenterology. 1979 Mar;76(3):477–481. [PubMed] [Google Scholar]
  25. Snodgrass D. R., Herring J. A., Gray E. W. Experimental rotavirus infection in lambs. J Comp Pathol. 1976 Oct;86(4):637–642. doi: 10.1016/0021-9975(76)90073-6. [DOI] [PubMed] [Google Scholar]
  26. Tallett S., MacKenzie C., Middleton P., Kerzner B., Hamilton R. Clinical, laboratory, and epidemiologic features of a viral gastroenteritis in infants and children. Pediatrics. 1977 Aug;60(2):217–222. [PubMed] [Google Scholar]
  27. Theil K. W., Bohl E. H., Cross R. F., Kohler E. M., Agnes A. G. Pathogenesis of porcine rotaviral infection in experimentally inoculated gnotobiotic pigs. Am J Vet Res. 1978 Feb;39(2):213–220. [PubMed] [Google Scholar]
  28. Torres-Pinedo R. Intestinal exfoliated cells in infant diarrhoea: changes in cell renewal and disaccharidase activities. Ciba Found Symp. 1976;(42):193–208. doi: 10.1002/9780470720240.ch11. [DOI] [PubMed] [Google Scholar]
  29. Torres-Pinedo R., Lavastida M., Rivera C. L., Rodrïguez H., Ortiz A. Studies on infant diarrhea. I. A comparison of the effects of milk feeding and intravenous therapy upon the composition and volume of the stool and urine. J Clin Invest. 1966 Apr;45(4):469–480. doi: 10.1172/JCI105361. [DOI] [PMC free article] [PubMed] [Google Scholar]

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