Recurrent Hemolytic and Uremic Syndrome Induced by Escherichia Coli

A widespread belief is that typical hemolytic and uremic syndrome (HUS) does not recur. We report the case of a patient infected twice with raw milk taken from his own cow and containing a Shiga toxin–producing Escherichia coli O174:H21 that induced recurrent HUS causing severe renal and cerebral di...

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Detalles Bibliográficos
Autores principales: Commereuc, Morgane, Weill, Francois-Xavier, Loukiadis, Estelle, Gouali, Malika, Gleizal, Audrey, Kormann, Raphaël, Ridel, Christophe, Frémeaux-Bacchi, Véronique, Rondeau, Eric, Hertig, Alexandre
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2016
Materias:
5301
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4706244/
https://www.ncbi.nlm.nih.gov/pubmed/26735524
http://dx.doi.org/10.1097/MD.0000000000002050
Descripción
Sumario:A widespread belief is that typical hemolytic and uremic syndrome (HUS) does not recur. We report the case of a patient infected twice with raw milk taken from his own cow and containing a Shiga toxin–producing Escherichia coli O174:H21 that induced recurrent HUS causing severe renal and cerebral disorders. A genomic comparison of the human and bovine Shiga toxin–producing Escherichia coli O174:H21 isolates revealed that they were identical. Typical HUS may recur. Since milk from this animal was occasionally distributed locally, thereby posing a serious threat for the whole village, this particular cow was destroyed.

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