[Verotoxin as a major laboratory criterion for Escherichia coli O157-induced enteric infection complicated by hemolytic uremic syndrome in infants in the Omsk region]

Klin Lab Diagn. 2010 Aug:(8):52-3.
[Article in Russian]

Abstract

The paper presents the results of etiological interpretation of the outbreak of Escherichia coli O157-induced enteric infection complicated by hemolytic uremic syndrome in Omsk in spring 2009. Seventeen infants aged 5 months to 2.5 years were examined; of them 9 patients were on hemodialysis. The diagnosis was verified in 7 children, by isolating verotoxin after fecal enrichment on the concentrating nutrient RIDA Enrichment Bouillon medium containing bile salts and mitomycin C, E. coli O157:H7 cultures on the sorbitol medium and/or by identifying E. coli O157 DNA. Six (4 having verotoxin) infants were found to have rotavirus and noro-virus antigens or DNA/RNA, which may make a contribution into the development of mixed infection and increase the risk of complications.

MeSH terms

  • Child, Preschool
  • Cities
  • Dysentery / complications
  • Dysentery / epidemiology
  • Dysentery / microbiology*
  • Escherichia coli Infections / complications
  • Escherichia coli Infections / epidemiology
  • Escherichia coli Infections / microbiology*
  • Escherichia coli O157 / isolation & purification*
  • Feces / chemistry
  • Hemolytic-Uremic Syndrome / complications*
  • Hemolytic-Uremic Syndrome / epidemiology
  • Hemolytic-Uremic Syndrome / therapy
  • Humans
  • Immunoenzyme Techniques / methods*
  • Infant
  • Renal Dialysis
  • Shiga Toxins / analysis*
  • Siberia / epidemiology

Substances

  • Shiga Toxins