Outbreak of Escherichia coli O157:H7 infection in a large family

被引:12
作者
Ludwig, K
Ruder, H
Bitzan, M
Zimmermann, S
Karch, H
机构
[1] UNIV HAMBURG, KINDERKLIN, D-20246 HAMBURG, GERMANY
[2] HOSP SICK CHILDREN, TORONTO, ON M5G 1X8, CANADA
[3] UNIV WURZBURG, INST HYG & MIKROBIOL, WURZBURG, GERMANY
关键词
D O I
10.1007/BF01709588
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
An outbreak of bloody and nonbloody diarrhoea caused by Escherichia coli O157:H7 including one case of haemolytic uraemic syndrome (HUS) and two cases of haemolytic anaemia, in five siblings (aged 2.5 to 11.3 years) and their playmate was investigated. Using sorbitol-MacConkey agar, colony blot hybridisation, and immunomagnetic separation, Shiga toxin 2-producing Escherichia coli O157:H7 was isolated from all children but the HUS patient; however, this patient had high immunoglobulin M antibody titres against Escherichia coli O157 lipopolysaccharide. Escherichia coli O157 isolates from all patients were indistinguishable in serotype, virulence properties, and genomic background, indicating that the same strain caused the infections. These data confirm the importance of person-to-person transmission.
引用
收藏
页码:238 / 241
页数:4
相关论文
共 15 条
[1]  
ALEKSIC S, 1992, ZBL BAKT-INT J MED M, V276, P221
[2]   A MULTISTATE OUTBREAK OF ESCHERICHIA-COLI-O157-H7 ASSOCIATED BLOODY DIARRHEA AND HEMOLYTIC-UREMIC-SYNDROME FROM HAMBURGERS - THE WASHINGTON EXPERIENCE [J].
BELL, BP ;
GOLDOFT, M ;
GRIFFIN, PM ;
DAVIS, MA ;
GORDON, DC ;
TARR, PI ;
BARTLESON, CA ;
LEWIS, JH ;
BARRETT, TJ ;
WELLS, JG ;
BARON, R ;
KOBAYASHI, J .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1994, 272 (17) :1349-1353
[3]   THE ROLE OF ESCHERICHIA-COLI O-157 INFECTIONS IN THE CLASSICAL (ENTEROPATHIC) HEMOLYTIC UREMIC SYNDROME - RESULTS OF A CENTRAL-EUROPEAN, MULTICENTER STUDY [J].
BITZAN, M ;
LUDWIG, K ;
KLEMT, M ;
KONIG, H ;
BUREN, J ;
MULLERWIEFEL, DE .
EPIDEMIOLOGY AND INFECTION, 1993, 110 (02) :183-196
[4]  
BITZAN M, 1991, J PEDIATR, V119, P280
[5]  
BOHM H, 1992, J CLIN MICROBIOL, V30, P2169
[6]   A SEVERE OUTBREAK OF ESCHERICHIA-COLI O157-H7 - ASSOCIATED HEMORRHAGIC COLITIS IN A NURSING-HOME [J].
CARTER, AO ;
BORCZYK, AA ;
CARLSON, JAK ;
HARVEY, B ;
HOCKIN, JC ;
KARMALI, MA ;
KRISHNAN, C ;
KORN, DA ;
LIOR, H .
NEW ENGLAND JOURNAL OF MEDICINE, 1987, 317 (24) :1496-1500
[7]   Isolation of enterohemorrhagic Escherichia coli O157 strains from patients with hemolytic-uremic syndrome by using immunomagnetic separation, DNA-based methods, and direct culture [J].
Karch, H ;
JanetzkiMittmann, C ;
Aleksic, S ;
Datz, M .
JOURNAL OF CLINICAL MICROBIOLOGY, 1996, 34 (03) :516-519
[8]   LONG-TERM SHEDDING AND CLONAL TURNOVER OF ENTEROHEMORRHAGIC ESCHERICHIA-COLI O157 IN DIARRHEAL DISEASES [J].
KARCH, H ;
RUSSMANN, H ;
SCHMIDT, H ;
SCHWARZKOPF, A ;
HEESEMANN, J .
JOURNAL OF CLINICAL MICROBIOLOGY, 1995, 33 (06) :1602-1605
[9]   A FAMILY OUTBREAK OF HEMOLYTIC-UREMIC SYNDROME ASSOCIATED WITH VEROTOXIN-PRODUCING ESCHERICHIA-COLI SEROTYPE O157-H7 [J].
KARMALI, MA ;
ARBUS, GS ;
ISHSHALOM, N ;
FLEMING, PC ;
MALKIN, D ;
PETRIC, M ;
CHEUNG, R ;
LOUIE, S ;
HUMPHREYS, GR ;
STRACHAN, M .
PEDIATRIC NEPHROLOGY, 1988, 2 (04) :409-414
[10]   THE ASSOCIATION BETWEEN IDIOPATHIC HEMOLYTIC UREMIC SYNDROME AND INFECTION BY VEROTOXIN-PRODUCING ESCHERICHIA-COLI [J].
KARMALI, MA ;
PETRIC, M ;
LIM, C ;
FLEMING, PC ;
ARBUS, GS ;
LIOR, H .
JOURNAL OF INFECTIOUS DISEASES, 1985, 151 (05) :775-782