Giuseppe
Emeritus
[Source: Emerging Infectious Diseases Journal, full PDF document: (LINK). Extract, edited.]
DOI: http://dx.doi.org/10.3201/eid1710.111072
Suggested citation for this article: Scavia G, Morabito S, Tozzoli R, Michelacci V, Marziano ML, Minelli F, et al. Similarity of Shiga toxin?producing Escherichia coli O104:H4 strains from Italy and Germany. Emerg Infect Dis. 2011 Oct; [Epub ahead of print]
Similarity of Shiga Toxin?producing Escherichia coli O104:H4 Strains from Italy and Germany
To the Editor:
Since the beginning of May 2011, a large outbreak of infections associated with Shiga toxin (Stx)?producing Escherichia coli (STEC) O104:H4 has occurred in Germany (1). The outbreak showed 3 unusual features: 1) a large proportion of case-patients with hemolytic uremic syndrome (HUS); 2) HUS in adults, although it usually affects children; and 3) frequent development of neurologic symptoms in patients when clinical and laboratory markers of HUS were improving (1,2). A second point-source outbreak caused by the same STEC O104 strain was reported in June 2011 in France (3). Both outbreaks were linked to eating fenugreek sprouts obtained from seeds produced in Egypt and distributed in Germany and other European countries (4).
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DOI: http://dx.doi.org/10.3201/eid1710.111072
Suggested citation for this article: Scavia G, Morabito S, Tozzoli R, Michelacci V, Marziano ML, Minelli F, et al. Similarity of Shiga toxin?producing Escherichia coli O104:H4 strains from Italy and Germany. Emerg Infect Dis. 2011 Oct; [Epub ahead of print]
Similarity of Shiga Toxin?producing Escherichia coli O104:H4 Strains from Italy and Germany
To the Editor:
Since the beginning of May 2011, a large outbreak of infections associated with Shiga toxin (Stx)?producing Escherichia coli (STEC) O104:H4 has occurred in Germany (1). The outbreak showed 3 unusual features: 1) a large proportion of case-patients with hemolytic uremic syndrome (HUS); 2) HUS in adults, although it usually affects children; and 3) frequent development of neurologic symptoms in patients when clinical and laboratory markers of HUS were improving (1,2). A second point-source outbreak caused by the same STEC O104 strain was reported in June 2011 in France (3). Both outbreaks were linked to eating fenugreek sprouts obtained from seeds produced in Egypt and distributed in Germany and other European countries (4).
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