Escherichia coli 0157:H7

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Escherichia coli 0157:H7

Microbiology A shiga-like verotoxin-producing serotype of E coli inculpated in outbreaks of hemorrhagic diarrhea, due to undercooked meat in 'fast-food' restaurants Clinical Colic, bloody diarrhea Radiology Submucosal edema, 'thumbprinting'

Escherichia coli 0157:H7

A strain of E. coli that may cause bloody diarrhea (and other more serious illnesses) as a result of its production of a potent toxin. Outbreaks of diarrheal illnesses caused by 0157:H7 have occurred in day care centers, families, farms, fast-food restaurants, nursing homes, petting zoos, and schools. The organism may contaminate undercooked meat, esp. hamburger; unpreserved apple cider; vegetables grown in manure; or contaminated water supplies. The infection caused by this bacillus may spread from animal-to-person, person-to-person, or through contamination of food or water.


Asymptomatic infection is common. In other cases, after the 3- to 8-day incubation period, an afebrile and self-limiting diarrhea occurs; however, the infection may progress to hemorrhagic colitis with bloody diarrhea, severe abdominal pain, and low-grade fever. Resolution usually occurs in 1 week. In about 15% of cases, patients develop hemolytic uremic syndrome (HUS); the mortality among patients who develop HUS ranges from 3 to 5%. The highest incidence of HUS is found among children and older adults.


Without a high index of suspicion, diagnosis in either a lone case or an outbreak may be delayed. To prevent unnecessary diagnostic or therapeutic intervention, such as colonoscopy or colectomy, diagnosis should be made as quickly as possible.


Ground meat should be cooked until it reaches a temperature of 160°F (71.1°C) and the meat should not be pink in the center. Leftovers should be reheated to 165°F (73.3°C). Individuals who change a baby's diapers should thoroughly wash their hands immediately afterward. Food handlers must wash their hands after using the toilet.

Patient discussion about Escherichia coli 0157:H7

Q. Can Alcoholism makes you vulnerable to intestine infections? A friend of mine is a heavy drinker, he had something like 5 infections in the past year. Is it connected?

A. yes

More discussions about Escherichia coli 0157:H7
References in periodicals archive ?
Detection of Escherichia coli 0157:H7 from Musca domestica (Diptera: Muscidae) at a cattle farm in Japan.
PCR detection of Escherichia coli 0157:H7 directly from stools: Evaluation of commercial extraction methods for purifying fecal DNA.
Outbreaks of escherichia coli 0157:H7:H7 infections among children associated with farm visits--Pennsylvania and Washington, 2000.
5,652,102-Assay for enterohemorrhagic Escherichia coli 0157:H7 by the polymerase chain reaction.
coli - Escherichia coli 0157:H7 - has been found in these foods, such treats carry potential danger.
Escherichia Coli 0157:H7 Outbreak at a Summer Camp, Virginia 1994.
foodborne diseases in 1987, Escherichia coli 0157:H7 was not even included.
For that matter, fewer had probably heard of Escherichia coli 0157:H7 (or EC0157, as it is sometimes abbreviated).
Enterohaemorrhagic Escherichia coli 0157:H7 Prevalence in meat and vegetables sold in Benin City, Nigeria.