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Euro Surveill. Outbreak of haemolytic uraemic syndrome due to Shiga toxin-producing Escherichia coli O104:H4 among French tourists returning from Turkey, September 2011

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  • Euro Surveill. Outbreak of haemolytic uraemic syndrome due to Shiga toxin-producing Escherichia coli O104:H4 among French tourists returning from Turkey, September 2011

    [Source: Eurosurveillance, full text: (LINK). Abstract, edited.]

    Eurosurveillance, Volume 17, Issue 4, 26 January 2012

    Rapid communications


    Outbreak of haemolytic uraemic syndrome due to Shiga toxin-producing Escherichia coli O104:H4 among French tourists returning from Turkey, September 2011


    N Jourdan-da Silva<SUP>1</SUP>, M Watrin<SUP>2</SUP>, F X Weill<SUP>3</SUP>, L A King ()<SUP>1</SUP>, M Gouali<SUP>3</SUP>, A Mailles<SUP>1</SUP>, D van Cauteren<SUP>1</SUP>, M Bataille<SUP>4</SUP>, S Guettier<SUP>4</SUP>, C Castrale<SUP>5</SUP>, P Henry<SUP>5</SUP>, P Mariani<SUP>6</SUP>, V Vaillant<SUP>1</SUP>, H de Valk<SUP>1</SUP>
    1. French Institute for Public Health Surveillance (Institut de veille sanitaire), St Maurice, France
    2. Regional Office of the French Institute for Public Health Surveillance, Caen, France
    3. Institut Pasteur, National Reference Centre for Escherichia coli and Shigella, Paris, France
    4. University Hospital of Caen, Neurology department, Caen, France
    5. University Hospital of Caen, Nephrology department, Caen, France
    6. Laboratory associated to the National Reference Centre for Escherichia coli and Shigella, Robert Debré Hospital, Paris, France
    <HR>
    Citation style for this article: Jourdan-da Silva N, Watrin M, Weill FX, King LA, Gouali M, Mailles A, van Cauteren D, Bataille M, Guettier S, Castrale C, Henry P, Mariani P, Vaillant V, de Valk H. Outbreak of haemolytic uraemic syndrome due to Shiga toxin-producing Escherichia coli O104:H4 among French tourists returning from Turkey, September 2011. Euro Surveill. 2012;17(4):pii=20065. Available online: http://www.eurosurveillance.org/View...rticleId=20065
    Date of submission: 06 January 2012
    <HR>Eight cases of diarrhoea, including two cases of haemolytic uraemic syndrome (HUS), were identified among 22 French tourists who travelled to Turkey in September 2011. A strain of Escherichia coli O104:H4 stx2-positive, eae-negative, hlyA-negative, aggR-positive, ESBL-negative was isolated from one HUS case. Molecular analyses show this strain to be genetically similar but not indistinguishable from the E. coli O104:H4 2011 outbreak strain of France and Germany. Although the source of infection was not identified, we conclude that the HUS cases had probably been infected in Turkey.
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