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Euro Surveill. Colonic ischaemia as a severe Shiga toxin/verotoxin producing Escherichia coli O104:H4 complication in a patient without haemolytic ura

Giuseppe

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


Eurosurveillance, Volume 16, Issue 25, 23 June 2011
Rapid communications
Colonic ischaemia as a severe Shiga toxin/verotoxin producing Escherichia coli O104:H4 complication in a patient without haemolytic uraemic syndrome, Germany, June 2011


S Cordesmeyer ()<SUP>1</SUP>, U Peitz<SUP>2</SUP>, N G?dde<SUP>3</SUP>, H U Kasper<SUP>4</SUP>, M W Hoffmann<SUP>1</SUP>, E Allemeyer<SUP>1</SUP><SUP>,5</SUP>
  1. Department of General and Visceral Surgery, Raphaelsklinik M?nster, Germany
  2. Department of Gastroenterology, Raphaelsklinik M?nster, Germany
  3. Department of Anestesiology, Raphaelsklinik M?nster, Germany
  4. Institute of Pathology Medical Center, M?nster, Germany
  5. Division of Coloproctology, Raphaelsklinik M?nster, Germany
<HR>
Citation style for this article: Cordesmeyer S, Peitz U, G?dde N, Kasper HU, Hoffmann MW, Allemeyer E. Colonic ischaemia as a severe Shiga toxin/verotoxin producing Escherichia coli O104:H4 complication in a patient without haemolytic uraemic syndrome, Germany, June 2011. Euro Surveill. 2011;16(25):pii=19895. Available online: http://www.eurosurveillance.org/ViewArticle.aspx?ArticleId=19895
Date of submission: 15 June 2011
<HR>An increasing rate of infections with Shiga toxin/verotoxin-producing Escherichia coli (STEC/VTEC) O104:H4 has been observed in Germany since May 2011, with unusually high numbers of patients suffering from haemolytic uraemic syndrome (HUS). We report a STEC/VTEC O104:H4 case without HUS, presenting with colonic ischaemia demanding surgery. This atypical clinical presentation of STEC O104:H4 infection might indicate new severe complications associated with this uncommon strain, and highlights the importance of immediate interdisciplinary assessment of STEC/VTEC patients.
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