Hemolytic Uremic Syndrome in a 65-Year-Old Male Linked to a Very Unusual Type of stx2e- and eae-Harboring O51:H49 Shiga Toxin-Producing Escherichia coli

被引:40
作者
Fasel, Dominique [1 ]
Mellmann, Alexander [2 ,3 ]
Cernela, Nicole [4 ]
Haechler, Herbert [4 ]
Fruth, Angelika [5 ]
Khanna, Nina [1 ]
Egli, Adrian [6 ]
Beckmann, Christiane [7 ]
Hirsch, Hans H. [1 ,7 ,8 ]
Goldenberger, Daniel [6 ]
Stephan, Roger [4 ]
机构
[1] Univ Basel Hosp, Div Infect Dis & Hosp Epidemiol, CH-4031 Basel, Switzerland
[2] Univ Munster, Inst Hyg, D-48149 Munster, Germany
[3] Univ Munster, Natl Consulting Lab Hemolyt Urem Syndrome, D-48149 Munster, Germany
[4] Univ Zurich, Inst Food Safety & Hyg, Natl Ctr Enteropathogen Bacteria & Listeria, Zurich, Switzerland
[5] Robert Koch Inst, Wernigerode, Germany
[6] Univ Basel Hosp, Div Clin Microbiol, CH-4031 Basel, Switzerland
[7] Univ Basel, Dept Biomed, Basel, Switzerland
[8] Univ Basel, Dept Biomed, Div Infect Diagnost, Basel, Switzerland
关键词
STRAINS; INFECTIONS; DIARRHEA; GERMANY; VARIANTS; SUBTYPES; CHILDREN;
D O I
10.1128/JCM.03459-13
中图分类号
Q93 [微生物学];
学科分类号
071005 ; 100705 ;
摘要
We report on a 65-year-old male patient with a Shiga toxin-producing Escherichia coli O51:H49 gastrointestinal infection and sepsis associated with hemolytic uremic syndrome (HUS) with a fatal outcome. The strains isolated harbored stx(2e) and eae, a very unusual and new virulence profile for an HUS-associated enterohemorrhagic E. coli.
引用
收藏
页码:1301 / 1303
页数:3
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