Pediatrics in Review
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(Pediatrics in Review. 2006;27:114-115.)
© 2006 American Academy of Pediatrics

In Brief

Escherichia coli

The first 20% of the full text of this article appears below.

Diagnosis and Management of Foodborne Illnesses. MMWR Morbid Mortal Wkly Rep. 2001;50 :(RR2):1 –69[Medline]

The Risk of the Hemolytic-Uremic Syndrome After Antibiotic Treatment of Escherichia coli O157:H7 Infections. Wong C, Jelacic S, Habeeb R, et al. N Engl J Med. 2000;342 :1930 –1936[Abstract/Free Full Text]

An Outbreak of Escherichia coli O157: H7 Infections Among Visitors to a Dairy Farm. Crump J, Sulka A, Langer A, et al. N Engl J Med. 2002;347 :555 –560[Abstract/Free Full Text]

Escherichia coli O157:H7. Tarr P, Neill M. Gastroenterol Clin North Am. 2001;30 :735 –751[CrossRef][Medline]

Escherichia coli are gram-negative bacilli in the Enterobacteriaceae family. Most of the many known strains of E coli are beneficial, colonizing the intestines of healthy humans and suppressing growth of pathogenic bacteria. However, at least five different pathotypes of diarrhea-producing E coli have been identified. Clinically, the disease caused by each pathotype is distinctive.

Enterotoxigenic E coli (ETEC) causes a self-limited illness, usually lasting fewer than 5 days. The organism colonizes the small intestine, where it releases an enterotoxin. Symptoms, usually of moderate severity, include nonbloody, watery diarrhea and abdominal cramps. On routine stool cultures, E coli organisms are read as "normal flora," so specific testing is required to diagnose ETEC. The most common cause of traveler’s diarrhea, ETEC also is an increasingly recognized . . . [Full Text of this Article]


Robin Goldman, MD
 The Children’s Hospital at Montefiore Bronx, NY

Henry M. Adam, MD, Editor, In Brief


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CLARIFICATION FOR JUNE 2006 ISSUE
lawrence f nazarian
Pediatrics in Review Online, 21 Apr 2006 [Full text]

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