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一名65岁男性的溶血性尿毒症综合征与一种非常罕见的携带stx2e和eae的O51:H49型产志贺毒素大肠杆菌有关。

Hemolytic uremic syndrome in a 65-Year-old male linked to a very unusual type of stx2e- and eae-harboring O51:H49 shiga toxin-producing Escherichia coli.

作者信息

Fasel Dominique, Mellmann Alexander, Cernela Nicole, Hächler Herbert, Fruth Angelika, Khanna Nina, Egli Adrian, Beckmann Christiane, Hirsch Hans H, Goldenberger Daniel, Stephan Roger

机构信息

Division of Infectious Diseases and Hospital Epidemiology, University Hospital Basel, Basel, Switzerland.

出版信息

J Clin Microbiol. 2014 Apr;52(4):1301-3. doi: 10.1128/JCM.03459-13. Epub 2014 Feb 5.

DOI:10.1128/JCM.03459-13
PMID:24501025
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3993467/
Abstract

We report on a 65-year-old male patient with a Shiga toxin-producing Escherichia coli O51:H49 gastrointestinal infection and sepsis associated with hemolytic uremic syndrome (HUS) with a fatal outcome. The strains isolated harbored stx2e and eae, a very unusual and new virulence profile for an HUS-associated enterohemorrhagic E. coli.

摘要

我们报告了一名65岁男性患者,其感染了产志贺毒素的大肠杆菌O51:H49,引发胃肠道感染和败血症,并伴有溶血性尿毒症综合征(HUS),最终死亡。分离出的菌株携带stx2e和eae,这对于与HUS相关的肠出血性大肠杆菌来说是一种非常罕见的新毒力谱。

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Seropathotypes, Phylogroups, Stx subtypes, and intimin types of wildlife-carried, shiga toxin-producing escherichia coli strains with the same characteristics as human-pathogenic isolates.具有与人类致病性分离株相同特征的野生动物携带产志贺毒素大肠杆菌的血清型、 phylogroups、stx 亚型和 intimin 型。
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