NEUROLOGICAL MANIFESTATIONS OF HEMORRHAGIC COLITIS IN THE OUTBREAK OF ESCHERICHIA-COLI O157-H7 INFECTION IN JAPAN

被引:55
作者
HAMANO, S
NAKANISHI, Y
NARA, T
SEKI, T
OHTANI, T
OISHI, T
JOH, K
OIKAWA, T
MURAMATSU, Y
OGAWA, Y
AKASHI, S
机构
[1] SAITAMA CHILDRENS MED CTR,DEPT PATHOL,IWATSUKI,SAITAMA 339,JAPAN
[2] SAITAMA CHILDRENS MED CTR,DIV INFECT DIS IMMUNOL & ALLERGY,IWATSUKI,SAITAMA 339,JAPAN
[3] SAITAMA CHILDRENS MED CTR,DIV NEPHROL,IWATSUKI,SAITAMA 339,JAPAN
关键词
ESCHERICHIA-COLI O157-H7; HEMOLYTIC UREMIC SYNDROME; HEMORRHAGIC COLITIS; SHIGA-LIKE TOXIN; VEROTOXIN;
D O I
10.1111/j.1651-2227.1993.tb12721.x
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
An outbreak of hemorrhagic colitis associated with Escherichia coli O157:H7 occurred in a kindergarten in Saitama, Japan from September to November, 1990. Seven patients admitted to our hospital showed neurological manifestations: generalized seizures, impaired consciousness, urinary incontinence, gaze nystagmus, phrenic nerve palsy, action tremor and vertigo. Two patients died. On the basis of the clinical courses and laboratory findings of the seven patients and postmortem findings of one case, these neurological symptoms were suspected to be induced by the verotoxin elaborated by Escherichia coli O157:H7.
引用
收藏
页码:454 / 458
页数:5
相关论文
共 16 条
[1]   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
[2]   RISK-FACTORS FOR THE PROGRESSION OF ESCHERICHIA-COLI O157-H7 ENTERITIS TO HEMOLYTIC-UREMIC SYNDROME [J].
CIMOLAI, N ;
CARTER, JE ;
MORRISON, BJ ;
ANDERSON, JD .
JOURNAL OF PEDIATRICS, 1990, 116 (04) :589-592
[3]   THE SHIGA-LIKE TOXIN-PRODUCING ESCHERICHIA-COLI AND HEMOLYTIC UREMIC SYNDROME [J].
CLEARY, TG ;
LOPEZ, EL .
PEDIATRIC INFECTIOUS DISEASE JOURNAL, 1989, 8 (10) :720-724
[4]  
GRASDEN WR, 1986, J INFECT DIS, V154, P522
[5]   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
[6]   INFECTION BY VEROCYTOTOXIN-PRODUCING ESCHERICHIA-COLI [J].
KARMALI, MA .
CLINICAL MICROBIOLOGY REVIEWS, 1989, 2 (01) :15-38
[7]  
KEENAN KP, 1986, AM J PATHOL, V125, P69
[8]  
Kobayashi N, 1986, ACTA PAEDIATR JAPON, V28, P651
[9]   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
[10]  
OBRIG TG, 1987, LANCET, V2, P687