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Sorbitol-fermenting Shiga toxin-producing Escherichia coli O157: indications for an animal reservoir.
Epidemiol Infect. 2006 Aug; 134(4):719-23.EI

Abstract

This study investigates a sorbitol-fermenting enterohaemorrhagic Escherichia coli (SF EHEC) O157 infection in a farmer's family in the Austrian province of Salzburg. The investigation commenced after a 10-month-old boy was admitted to hospital with the clinical diagnosis of a haemolytic-uraemic syndrome (HUS) and his stool specimen grew SF EHEC O157:H-. In a subsequent environmental survey, a stool specimen of the 2-year-old brother and faecal samples of two cattle from the family's farm were also found to be positive for SF EHEC O157:H-. All four isolates had indistinguishable phenotypic and molecular characteristics and were identical to the first strain detected in Bavaria in 1988. Despite identical isolates being demonstrated in Bavaria after 1988, and until this report, increased surveillance in neighbouring Austria had not found this organism. We propose that the strain may have recently spread from Bavaria to Austria. Although SF EHEC O157:H- strains are still rare, they may represent a considerable health threat as they can spread from farm animals to humans and between humans.

Authors+Show Affiliations

Department of Hygiene, Microbiology and Social Medicine, Innsbruck Medical University and Austrian Reference Laboratory for EHEC/STEC/VTEC, Innsbruck, Austria.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

16371175

Citation

Orth, D, et al. "Sorbitol-fermenting Shiga Toxin-producing Escherichia Coli O157: Indications for an Animal Reservoir." Epidemiology and Infection, vol. 134, no. 4, 2006, pp. 719-23.
Orth D, Grif K, Dierich MP, et al. Sorbitol-fermenting Shiga toxin-producing Escherichia coli O157: indications for an animal reservoir. Epidemiol Infect. 2006;134(4):719-23.
Orth, D., Grif, K., Dierich, M. P., & Würzner, R. (2006). Sorbitol-fermenting Shiga toxin-producing Escherichia coli O157: indications for an animal reservoir. Epidemiology and Infection, 134(4), 719-23.
Orth D, et al. Sorbitol-fermenting Shiga Toxin-producing Escherichia Coli O157: Indications for an Animal Reservoir. Epidemiol Infect. 2006;134(4):719-23. PubMed PMID: 16371175.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Sorbitol-fermenting Shiga toxin-producing Escherichia coli O157: indications for an animal reservoir. AU - Orth,D, AU - Grif,K, AU - Dierich,M P, AU - Würzner,R, Y1 - 2005/12/22/ PY - 2005/09/19/accepted PY - 2005/12/24/pubmed PY - 2006/9/1/medline PY - 2005/12/24/entrez SP - 719 EP - 23 JF - Epidemiology and infection JO - Epidemiol Infect VL - 134 IS - 4 N2 - This study investigates a sorbitol-fermenting enterohaemorrhagic Escherichia coli (SF EHEC) O157 infection in a farmer's family in the Austrian province of Salzburg. The investigation commenced after a 10-month-old boy was admitted to hospital with the clinical diagnosis of a haemolytic-uraemic syndrome (HUS) and his stool specimen grew SF EHEC O157:H-. In a subsequent environmental survey, a stool specimen of the 2-year-old brother and faecal samples of two cattle from the family's farm were also found to be positive for SF EHEC O157:H-. All four isolates had indistinguishable phenotypic and molecular characteristics and were identical to the first strain detected in Bavaria in 1988. Despite identical isolates being demonstrated in Bavaria after 1988, and until this report, increased surveillance in neighbouring Austria had not found this organism. We propose that the strain may have recently spread from Bavaria to Austria. Although SF EHEC O157:H- strains are still rare, they may represent a considerable health threat as they can spread from farm animals to humans and between humans. SN - 0950-2688 UR - https://www.unboundmedicine.com/medline/citation/16371175/Sorbitol_fermenting_Shiga_toxin_producing_Escherichia_coli_O157:_indications_for_an_animal_reservoir_ L2 - https://www.cambridge.org/core/product/identifier/S0950268805005467/type/journal_article DB - PRIME DP - Unbound Medicine ER -