ESCHERICHIA-COLI O157-H7 AND THE HEMOLYTIC UREMIC SYNDROME - IMPORTANCE OF EARLY CULTURES IN ESTABLISHING THE ETIOLOGY

被引:199
作者
TARR, PI
NEILL, MA
CLAUSEN, CR
WATKINS, SL
CHRISTIE, DL
HICKMAN, RO
机构
[1] UNIV WASHINGTON,SCH MED,DEPT LAB MED,SEATTLE,WA 98195
[2] CHILDRENS HOSP & MED CTR,SEATTLE,WA
[3] BROWN UNIV,PROGRAM MED,PROVIDENCE,RI 02912
关键词
D O I
10.1093/infdis/162.2.553
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Fifty-two patients were studied prospectively to determine the etiology of postdiarrheal hemolytic uremic syndrome (HUS). Escherichia coli 0157:H7 was isolated from 33 patients (63.4%). If stool obtained within 2 days of the onset of diarrhea was cultured for E. coli 0157:H7, the recovery rate was 100%. This rate decreased to 91.7% and 33.3% if stool was cultured for this pathogen 3–6 or ≥ 7 days, respectively, after diarrhea began. The culture-positive group was more likely to have had bloody diarrhea and fecal leukocytes and to have received transfusions than the culture-negative group but was otherwise similar in clinical characteristics. E. coli 0157:H7 is the predominant pathogen associated with HUS in western Washington. Recovery ofthis pathogen is highly dependent on obtaining stool cultures within 6 days of onset of diarrhea. © 1990, by The University of Chicago.
引用
收藏
页码:553 / 556
页数:4
相关论文
共 13 条
[1]   FURTHER EVIDENCE ASSOCIATING HEMOLYTIC UREMIC SYNDROME WITH INFECTION BY VEROTOXIN-PRODUCING ESCHERICHIA-COLI O157-H7 [J].
GRANSDEN, WR ;
DAMM, MAS ;
ANDERSON, JD ;
CARTER, JE ;
LIOR, H .
JOURNAL OF INFECTIOUS DISEASES, 1986, 154 (03) :522-524
[2]   ILLNESSES ASSOCIATED WITH ESCHERICHIA-COLI O157-H7 INFECTIONS - A BROAD CLINICAL SPECTRUM [J].
GRIFFIN, PM ;
OSTROFF, SM ;
TAUXE, RV ;
GREENE, KD ;
WELLS, JG ;
LEWIS, JH ;
BLAKE, PA .
ANNALS OF INTERNAL MEDICINE, 1988, 109 (09) :705-712
[3]   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
[4]   HEMOLYTIC UREMIC SYNDROME AND DIARRHEA IN ARGENTINE CHILDREN - THE ROLE OF SHIGA-LIKE TOXINS [J].
LOPEZ, EL ;
DIAZ, M ;
GRINSTEIN, S ;
DEVOTO, S ;
MENDILAHARZU, F ;
MURRAY, BE ;
ASHKENAZI, S ;
RUBEGLIO, E ;
WOLOJ, M ;
VASQUEZ, M ;
TURCO, M ;
PICKERING, LK ;
CLEARY, TG .
JOURNAL OF INFECTIOUS DISEASES, 1989, 160 (03) :469-475
[5]   1ST RECOGNIZED COMMUNITY OUTBREAK OF HEMORRHAGIC COLITIS DUE TO VEROTOXIN-PRODUCING ESCHERICHIA-COLI O-157-H7 IN THE UK [J].
MORGAN, GM ;
NEWMAN, C ;
PALMER, SR ;
ALLEN, JB ;
SHEPHERD, W ;
RAMPLING, AM ;
WARREN, RE ;
GROSS, RJ ;
SCOTLAND, SM ;
SMITH, HR .
EPIDEMIOLOGY AND INFECTION, 1988, 101 (01) :83-91
[6]  
NEILL MA, 1987, PEDIATRICS, V80, P37
[7]   INFECTIONS WITH ESCHERICHIA-COLI O157-H7 IN WASHINGTON STATE - THE 1ST YEAR OF STATEWIDE DISEASE SURVEILLANCE [J].
OSTROFF, SM ;
KOBAYASHI, JM ;
LEWIS, JH .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1989, 262 (03) :355-359
[8]   SPORADIC CASES OF HEMORRHAGIC COLITIS ASSOCIATED WITH ESCHERICHIA-COLI O157-H7 [J].
REMIS, RS ;
MACDONALD, KL ;
RILEY, LW ;
PUHR, ND ;
WELLS, JG ;
DAVIS, BR ;
BLAKE, PA ;
COHEN, ML .
ANNALS OF INTERNAL MEDICINE, 1984, 101 (05) :624-626
[9]   HEMORRHAGIC COLITIS ASSOCIATED WITH A RARE ESCHERICHIA-COLI SEROTYPE [J].
RILEY, LW ;
REMIS, RS ;
HELGERSON, SD ;
MCGEE, HB ;
WELLS, JG ;
DAVIS, BR ;
HEBERT, RJ ;
OLCOTT, ES ;
JOHNSON, LM ;
HARGRETT, NT ;
BLAKE, PA ;
COHEN, ML .
NEW ENGLAND JOURNAL OF MEDICINE, 1983, 308 (12) :681-685
[10]   VERO CYTOTOXIN-PRODUCING STRAINS OF ESCHERICHIA-COLI FROM CHILDREN WITH HEMOLYTIC UREMIC SYNDROME AND THEIR DETECTION BY SPECIFIC DNA PROBES [J].
SCOTLAND, SM ;
ROWE, B ;
SMITH, HR ;
WILLSHAW, GA ;
GROSS, RJ .
JOURNAL OF MEDICAL MICROBIOLOGY, 1988, 25 (04) :237-243