Enterohemorrhagic Escherichia coli Infections

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چکیده

Enterohemorrhagic Escherichia coli (EHEC) is a subset of pathogenic E. coli that can cause diarrhea or hemorrhagic colitis in humans. Hemorrhagic colitis occasionally progresses to hemolytic uremic syndrome (HUS), an important cause of acute renal failure in children and morbidity and mortality in adults. In the elderly, the case fatality rate for HUS can be as high as 50%. E. coli O157:H7 (EHEC O157:H7) has been recognized as a cause of this syndrome since the 1980s. The reservoirs for EHEC O157:H7 are ruminants, particularly cattle and sheep, which are infected asymptomatically and shed the organism in feces. Other animals such as rabbits and pigs can also carry this organism. Humans acquire EHEC O157:H7 by direct contact with animal carriers, their feces, and contaminated soil or water, or via the ingestion of underdone ground beef, other animal products, and contaminated vegetables and fruit. The infectious dose is very low, which increases the risk of disease. Infections with EHEC in other serogroups, including members of O26, O91, O103, O104, O111, O113, O117, O118, O121, O128 and O145, are increasingly recognized as causes of hemorrhagic colitis and HUS. Some of these organisms may be as significant in human disease as EHEC O157:H7; however, they are not recognized on the media used to isolate this organism, and many laboratories do not routinely screen for other strains. Although many EHEC seem to be carried asymptomatically in animals, members of some non-O157 serogroups may cause enteric disease in young animals. In rabbits, EHEC O153 has been linked to a disease that resembles HUS.

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تاریخ انتشار 2013