Acute diarrhoea due to a Shiga toxin 2e-producing Escherichia coli O8 : H19

Identification of non-O157 Shiga-toxin-producing (STEC) infections may be underestimated in microbiological diagnosis. A 58-year-old woman developed diarrhoea with watery and subsequently mucous stool. Initial multiplex PCR testing revealed a positive result for . Culture isolation of a STEC was suc...

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Published inJMM Case Reports (Online) Vol. 4; no. 6; p. e005099
Main Authors Saupe, Angela, Edel, Birgit, Pfister, Wolfgang, Löffler, Bettina, Ehricht, Ralf, Rödel, Jürgen
Format Journal Article
LanguageEnglish
Published England Microbiology Society 14.06.2017
Subjects
Case Report
STEC infection
azithromycin
diarrhoea
antibiotics
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Summary:Identification of non-O157 Shiga-toxin-producing (STEC) infections may be underestimated in microbiological diagnosis. A 58-year-old woman developed diarrhoea with watery and subsequently mucous stool. Initial multiplex PCR testing revealed a positive result for . Culture isolation of a STEC was successful only after repeated inoculation of chromogenic media. Molecular characterization was performed and identified the isolate as -positive STEC of serotype O8 : H19. The strain harboured , but not . This case highlights the usefulness of initial multiplex PCR for diagnosis of non-O157 STEC infection.
ISSN:2053-3721
2053-3721
DOI:10.1099/jmmcr.0.005099