Journal Article

Clinical Features of Infections Due to <i>Escherichia coli</i> Producing Heat-Stable Toxin During an Outbreak in Wisconsin: A Rarely Suspected Cause of Diarrhea in the United States

Thierry H. Roels, Mary E. Proctor, Loyce C. Robinson, Kevin Hulbert, Cheryl A. Bopp, Jeffrey P. Davis, Thierry H. Roels, Mary E. Proctor, Loyce C. Robinson, Kevin Hulbert, Cheryl A. Bopp and Jeffrey P. Davis

in Clinical Infectious Diseases

Published on behalf of Infectious Diseases Society of America

Volume 26, issue 4, pages 898-902
Published in print April 1998 | ISSN: 1058-4838
Published online April 1998 | e-ISSN: 1537-6591 | DOI: http://dx.doi.org/10.1086/513923
Clinical Features of Infections Due to Escherichia coli Producing Heat-Stable Toxin During an Outbreak in Wisconsin: A Rarely Suspected Cause of Diarrhea in the United States

More Like This

Show all results sharing these subjects:

  • Infectious Diseases
  • Immunology
  • Public Health and Epidemiology
  • Microbiology

GO

Show Summary Details

Preview

In September 1994, a foodborne outbreak of enterotoxigenic Escherichia coli (ETEC) infection occurred in attendees of a banquet in Milwaukee. E. coli was isolated from stool specimens from 13 patients that were comprehensively tested; isolates from five patients were positive for E. coli producing heat-stable toxin, were biochemically identified and serotyped as E. coli O153:H45, and were all resistant to tetracycline, ampicillin, sulfisoxazole, and streptomycin. Diarrhea (100%) and abdominal cramps (83%) were the most prevalent symptoms in 205 cases; vomiting (13%) and fever (19%) were less common. The median duration of diarrhea and abdominal cramps was 6 days and 5 days, respectively. In the United States, health care providers rarely consider ETEC as a possible cause of diarrhea in their patients, and few laboratories offer testing to identify ETEC. Hence, outbreaks of ETEC infection may be underdiagnosed and underreported. As in this outbreak, the relatively high prevalence of diarrhea and cramps lasting ⩾4 days and the low prevalence of vomiting and fever can help distinguish ETEC infection from Norwalk-like virus infection and gastroenteritis due to other causes with incubation times of ⩾15 hours and can provide direction for confirmatory laboratory testing

Journal Article.  0 words. 

Subjects: Infectious Diseases ; Immunology ; Public Health and Epidemiology ; Microbiology

Full text: subscription required

How to subscribe Recommend to my Librarian

Users without a subscription are not able to see the full content. Please, subscribe or login to access all content.