Determination of enterohemorrhagic Escherichia coli serotype O165:HNM infection in a hemolytic uremic syndrome patient with adenovirus seroype 41.
Jpn J Infect Dis
; 66(5): 394-7, 2013.
Article
em En
| MEDLINE
| ID: mdl-24047737
ABSTRACT
A 4-year-old girl who was positive for adenovirus according to a rapid immunochromatographic test conducted at a hospital, progressed to hemorrhagic diarrhea and hemolytic uremic syndrome (HUS). The presence of adenovirus serotype 41 (AdV-41) was confirmed by TaqMan real-time PCR and sequence analysis. However, most enteric viral infections cause mild to moderate diarrhea. In the present case, enterohemorrhagic Escherichia coli (EHEC) O165HNM was isolated concomitantly with AdV-41. In addition, O165 antibody was specifically detected in patient sera. The EHEC isolate was positive for the virulence genes stx1, stx2a, eae type ε, ehxA, and norV. Therefore, we concluded that EHEC O165HNM was the precise pathogen leading to HUS in this patient.
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Base de dados:
MEDLINE
Assunto principal:
Adenovírus Humanos
/
Infecções por Adenoviridae
/
Infecções por Escherichia coli
/
Escherichia coli Êntero-Hemorrágica
/
Síndrome Hemolítico-Urêmica
Limite:
Child, preschool
/
Female
/
Humans
Idioma:
En
Revista:
Jpn J Infect Dis
Assunto da revista:
DOENCAS TRANSMISSIVEIS
Ano de publicação:
2013
Tipo de documento:
Article