Gastroenterology Book

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Escherichia coli

Aka: Escherichia coli, E. coli, Enterotoxigenic E. coli, ETEC, Enteroinvasive E. coli, EIEC, Enteroadherent E. coli, EAEC, Enterohemorrhagic E. coli, EHEC, E. coli 0157
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  1. See Also
    1. Diarrhea
    2. Infectious Diarrhea
  2. Types
    1. Enterotoxigenic E. coli (ETEC)
      1. Most common pathogen in Traveler's Diarrhea
    2. Enteroinvasive E. coli (EIEC)
      1. Causes acute dysentery-like Diarrhea
    3. Enteroadherent E. coli (EAEC)
      1. Causes Diarrhea in infants
    4. Enterohemorrhagic E. coli (EHEC)
      1. Bloody Diarrhea
      2. Includes serotype 0157:H7 (Shiga-toxin producer)
      3. Rapid onset in 12-72 hours
  3. Pathophysiology
    1. Some strains release Shiga-like toxin (e.g. 0157:H7)
    2. Certain E. coli strains have unique adherent ability
      1. E. coli 0157:H7
      2. E. coli various serotypes (over 200)
  4. Epidemiology
    1. Foodborne Illness (Shiga-toxin producing E. coli)
      1. Meat products
        1. Bovine (Most common)
          1. Undercooked hamburger (often commercial source)
        2. Pork
        3. Poultry
        4. Lamb
      2. Mayonnaise
      3. Sausage
      4. Salami
      5. Raw milk
      6. Alfalfa sprouts
      7. Unpasteurized apple cider and apple juice
    2. Waterborne Illness
      1. Outbreak at Rockford, IL lake swimming area (n=12)
      2. References
        1. MMWR (1996) 45:437-9
  5. Symptoms
    1. Enterohemorrhagic E. coli (EHEC)
      1. Acute hemorrhagic colitis
  6. Signs
    1. Enterohemorrhagic E. coli (EHEC)
      1. Bloody Diarrhea in 95%
  7. Complications
    1. Enterohemorrhagic E. coli (EHEC)
      1. Hemolytic Uremic Syndrome (HUS)
      2. Thrombotic Thrombocytopenic Purpura (TTP)
  8. Labs
    1. Specific E.Coli 0157:H7 Culture
  9. Management
    1. Supportive Care
      1. Oral Rehydration
      2. Avoid anti-motility (e.g. Imodium may worsen disease)
    2. Antibiotics
      1. Indications
        1. Severe cases
      2. Disadvantages of antibiotics
        1. Antibiotics do not alter disease course
        2. May increase Hemolytic Uremic Syndrome risk
      3. Course
        1. Enterotoxigenic E. coli: Treat for 3 days
        2. Enteroinvasive E. coli: Treat for 5 days
      4. Adults
        1. Trimethoprim-Sulfamethoxazole (Bactrim)
        2. Fluoroquinolone
      5. Children
        1. Trimethoprim-Sulfamethoxazole (Bactrim)
          1. Dose: 10 mg Trimethoprim/kg/day PO/IV divided bid
  10. Prevention
    1. Meat irradiation
  11. References
    1. Bower (1999) Pediatr Infect Dis J 18:909-10

Enteroinvasive Escherichia coli (bacteria) (C0580795)

Definition (MSH) A pathotype (virotype) of E. coli capable of invading and multiplying in the intestinal epithelial cells of the distal large intestines in humans.
Concepts Bacterium (T007)
MSH D004926
SnomedCT 116396007
English E coli enteroinvasive, Enteroinvasive E. coli, Enteroinvasive Escherichia coli, Enteroinvasive Escherichia coli (bacteria), Escherichia coli enteroinvasive, EIEC, Escherichia coli, enteroinvasive strain, Enteroinvasive Escherichia coli (organism), enteroinvasive Escherichia coli, Escherichia coli, enteroinvasive strain (organism)
French EIEC (Enteroinvasive Escherichia coli), Escherichia coli entéroinvasive, E. coli entéroinvasive, ECEI, Escherichia coli entéro-invasive
German Enteroinvasive Escherichia coli, Enteroinvasive E. coli, EIEC
Spanish Escherichia coli, cepa enteroinvasiva (organismo), Escherichia coli, cepa enteroinvasiva
Sources
Derived from the NIH UMLS (Unified Medical Language System)


Enterotoxigenic Escherichia coli (C0580797)

Definition (MSH) Strains of ESCHERICHIA COLI that produce or contain at least one member of either heat-labile or heat-stable ENTEROTOXINS. The organisms colonize the mucosal surface of the small intestine and elaborate their enterotoxins causing DIARRHEA. They are mainly associated with tropical and developing countries and affect susceptible travelers to those places.
Concepts Bacterium (T007)
MSH D054307
SnomedCT 116394005
Spanish Escherichia coli, cepa enterotoxígena, E coli Enterotoxigenica, Escherichia coli Enterotoxigénica, E coli Enterotoxigénica, Escherichia coli Enterotoxigenica, ECET, Escherichia coli enterotoxígena, Escherichia coli, cepa enterotoxígena (organismo), Escherichia coli enterotoxigénica (organismo), Escherichia coli enterotoxigénica
English E coli enterotoxigenic, Enterotoxigenic E. coli, ETEC, Enterotoxigenic Escherichia coli, E coli, Enterotoxigenic, Escherichia coli, Enterotoxigenic, Escherichia coli, enterotoxigenic strain, enterotoxigenic escherichia coli, enterotoxigenic escherichia coli (ETEC), etec, Escherichia coli enterotoxigenic, Enterotoxigenic Escherichia coli (organism), enterotoxigenic Escherichia coli, Escherichia coli, enterotoxigenic strain (organism)
Portuguese E coli Enterotoxigênica, ECET, Escherichia coli Enterotoxigênica, ETEC
Finnish Enterotoksigeeninen Escherichia coli
French ETEC (Enterotoxigenic Escherichia coli), Escherichia coli entérotoxigène, E. coli entérotoxigène
German Enterotoxische Escherichia coli, E. coli, Enterotoxische, Enterotoxigene E. coli, Escherichia coli, Enterotoxigene, E. coli, Enterotoxigene, Enterotoxische E. coli, Escherichia coli, Enterotoxische, Enterotoxigene Escherichia coli, ETEC
Italian ETEC, E. coli enterotossigeno, Escherichia coli enterotossigeno
Russian E COLI ЭНТЕРОТОКСИКОГЕННАЯ, E COLI ENTEROTOKSIKOGENNAIA, ЭНТЕРОТОКСИКОГЕННАЯ ESCHERICHIA COLI, ESCHERICHIA COLI ЭНТЕРОТОКСИКОГЕННАЯ, ESCHERICHIA COLI ENTEROTOKSIKOGENNAIA, ENTEROTOKSIKOGENNAIA ESCHERICHIA COLI, ETEC
Japanese 毒素原性大腸菌, 大腸菌-毒素原性
Swedish Enterotoxigen E coli
Czech enterotoxigenní Escherichia coli, enterotoxigenní E coli, enterotoxigenní E. coli
Polish Escherichia coli enterotoksyczne
Sources
Derived from the NIH UMLS (Unified Medical Language System)


Enterohemorrhagic Escherichia coli (C0600414)

Definition (MSH) Strains of ESCHERICHIA COLI that are a subgroup of SHIGA-TOXIGENIC ESCHERICHIA COLI. They cause non-bloody and bloody DIARRHEA; HEMOLYTIC UREMIC SYNDROME; and hemorrhagic COLITIS. An important member of this subgroup is ESCHERICHIA COLI O157-H7.
Concepts Bacterium (T007)
MSH D054324, D019453
SnomedCT 116395006
Spanish Escherichia coli, cepa enterohemorrágica (organismo), Escherichia coli, cepa enterohemorrágica, EHEC, Escherichia coli, E coli Enterohemorrágica, Escherichia coli Enterohemorrágica, Escherichia coli Enterohemorragica, E coli Enterohemorragica, ECEH, Escherichia coli enterohemorrágica (organismo), Escherichia coli enterohemorrágica
English E coli, Enterohemorrhagic, Enterohemorrhagic E coli, Escherichia coli, Enterohemorrhagic, EHEC, Enterohemorrhagic E. coli, Escherichia coli, enterohemorrhagic strain, Escherichia coli, enterohaemorrhagic strain, enterohemorrhagic e coli, coli e enterohemorrhagic, Enterohemorrhagic Escherichia coli, Enterohemorrhagic Escherichia coli (organism), Escherichia coli, enterohemorrhagic strain (organism), Enterohaemorrhagic Escherichia coli, EHEC, Escherichia coli
Portuguese Escherichia coli Enterohemorrágica, EHEC, E coli Enterohemorrágica, ECEH
Finnish Enterohemorraginen Escherichia coli
French E. coli entérohémorragique, EHEC (Enterohemorrhagic Escherichia coli), Escherichia coli entérohémorrhagique, Escherichia coli entéro-hémorragique, ECEH
German EHEC, Enterohämorrhagische Escherichia coli, E. coli, enterohämorrhagische, Enterohämorrhagische E. coli, Escherichia coli, enterohämorrhagische
Italian Escherichia coli enteroemorragico
Russian E COLI ЭНТЕРОГЕМОРРАГИЧЕСКАЯ, ЭНТЕРОГЕМОРРАГИЧЕСКАЯ ESCHERICHIA COLI, ESCHERICHIA COLI ENTEROGEMORRAGICHESKAIA, ENTEROGEMORRAGICHESKAIA ESCHERICHIA COLI, E COLI ENTEROGEMORRAGICHESKAIA, ESCHERICHIA COLI ЭНТЕРОГЕМОРРАГИЧЕСКАЯ, EHEC
Japanese 腸管出血性大腸菌, 大腸菌-腸管出血性
Swedish Enterohemorragisk E coli
Czech enterohemoragická E coli, enterohemoragická Escherichia coli, enterohemoragická E. coli
Polish Escherichia coli enterokrwotoczne
Dutch Entero-hemorragische E coli
Sources
Derived from the NIH UMLS (Unified Medical Language System)


Enteroaggregative Escherichia coli (C0872165)

Definition (MSH) A pathotype (virotype) of E. coli characterized by a distinct aggregative adherence pattern to HEp-2 cells.
Concepts Bacterium (T007)
MSH D004926
SnomedCT 116397003
Spanish Escherichia coli, cepa enteroagregadora, EAEC, Escherichia coli Enteroagregativa, EAggEC, Escherichia coli, cepa enteroagregante (organismo), Escherichia coli, cepa enteroagregante
English EAggEC, Enteroaggregative E. coli, Enteroaggregative Escherichia coli, Escherichia coli, enteroaggregative strain, enteroaggregative Escherichia coli, EggEC, Enteroaggregative Escherichia coli (organism), Escherichia coli, enteroaggregative strain (organism), EAEC
Portuguese Escherichia coli Enteroagregativa, EAggEC
French Escherichia coli entéroagrégative, EAEC (Enteroaggregative Escherichia coli), E. coli entéroagrégative, ECEA, Escherichia coli entéro-agrégative
German EAEC, EAggEC, Enteroaggregative E. coli, Enteroaggregative Escherichia coli
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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