Presentation
Of the 1,761 EHEC/EPEC-specific genes, 87 were present in all EHECs. As expected, 34 of these genes were also present in the EPEC strain and most were T3SS-related. [doi.org]
CASE PRESENTATION: We describe the case of a 53-year-old woman, resident in Germany, suffering from community-acquired bacterial meningitis caused by CTX-M-9 type extended spectrum β-lactamase producing Escherichia coli. [ncbi.nlm.nih.gov]
Entire Body System
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Fever
A 78-year-old man had a fever and exhibited disordered consciousness, which led to his transportation to our hospital. On arrival, he exhibited discharge from the ear. [ncbi.nlm.nih.gov]
When the upper urinary tract (kidneys) is affected it causes high fever, back pain and pain when urinating. [hospital.vallhebron.com]
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High Fever
The authors report the case of a 67-year-old man, admitted for high fever and finally diagnosed with Escherichia coli (E.coli)-related IAAA. The IAAA ruptured during the general anaesthesia induction, leading to an emergency surgery. [ncbi.nlm.nih.gov]
When the upper urinary tract (kidneys) is affected it causes high fever, back pain and pain when urinating. [hospital.vallhebron.com]
A high fever is uncommon. Symptoms usually last 5–7 days. ETEC : Most people have stomach cramps and watery diarrhea. Symptoms usually last 3–4 days. [cdc.gov]
If you have diarrhoea that is severe or has blood in it, or if you have a high fever with your diarrhoea, you should see your doctor. [healthdirect.gov.au]
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Malaise
On readmission, she had ongoing fever, myalgia, malaise, and hypotension. Investigations revealed anemia with thrombocytopenia, hyponatremia, and acute-on-chronic kidney injury. [ncbi.nlm.nih.gov]
[…] enterotoxin (LT) and a heat stabile enterotoxin (ST) SECTION II - HEALTH HAZARD PATHOGENICITY: Self-limiting cholera-like disease in infants and adults; profuse watery diarrhea without blood or mucous; abdominal cramping, vomiting, acidosis, prostration, malaise [msdsonline.com]
Other common symptoms are abdominal pain, malaise, nausea, and vomiting. Diarrhea and other symptoms cease spontaneously after 24 to 72 hours. FIGURE 25-2 Pathogenesis of E coli diarrheal disease. [web.archive.org]
The presentation ranges from low-grade fever with abdominal tenderness, weakness, malaise, and anorexia to hypoxemia and hypotension. The infection is usually polymicrobial with E coli and other gram-negative bacilli and anaerobes. [medscape.com]
The clinical presentation of EIC consists of mild watery diarrhea, fatigue, malaise, fever and anorexia during the early stages of infection. This is followed by dehydration, abdominal cramps, tenesmus, stools with blood and mucus (102). [antimicrobe.org]
Gastrointestinal
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Vomiting
[…] last In adults and children: diarrhoea usually lasts 5 to 7 days vomiting usually lasts 1 to 2 days Diarrhoea and vomiting can spread easily If you have a stomach bug, you could be infectious to others. [nhs.uk]
We report a case of Escherichia coli SICM in a 63-year-old woman presented with sudden onset of dyspnoea on exertion and orthopnoea following nausea, vomiting and diarrhoea after consuming Chinese foods. [ncbi.nlm.nih.gov]
Fever and vomiting may also occur. Most patients recover within 10 days, although in a few cases the disease may become life-threatening. [who.int]
Cases are subject to restriction on school and child care attendance, food handling, and patient care while in the communicable stage of the disease, or for the duration of any diarrhea and/or vomiting. [oregon.gov]
Most varieties of E. coli are harmless or cause relatively brief diarrhea, but a few strains can cause severe abdominal cramps, bloody diarrhea and vomiting. [health.state.mn.us]
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Nausea
We report a case of Escherichia coli SICM in a 63-year-old woman presented with sudden onset of dyspnoea on exertion and orthopnoea following nausea, vomiting and diarrhoea after consuming Chinese foods. [ncbi.nlm.nih.gov]
E.coli 0157:H7 causes severe stomach cramps with diarrhea, often bloody, nausea and occasionally vomiting, but usually no fever. Most people recover without specific treatment in five to 10 days. [hnhu.org]
[…] and is then exposed to bacteria (most often a strain of E. coli dubbed enterotoxigenic E. coli, or ETEC) via food or water to which their body has little to no familiarity. (10) Here are some treatment options for those who develop symptoms such as nausea [everydayhealth.com]
Generally, the symptoms include severe stomach cramps, diarrhea, fever, nausea, and/or vomiting. The severity or presence of certain symptoms may depend on the type of pathogenic E. coli causing the infection. [fda.gov]
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Abdominal Pain
In September 2005, the Sanitary Surveillance Service of Rio de Janeiro (SSS/RJ), Brazil, investigated a case of gastroenteritis involving a 13-year-old teenager hospitalized because of bloody diarrhea and severe abdominal pain. [ncbi.nlm.nih.gov]
Intestinal infections can cause diarrhea, sometimes severe or bloody, and abdominal pain. [msdmanuals.com]
Most strains cause watery diarrhoea with vomiting and crampy abdominal pain, although the EIEC and EHEC strains can cause a more serious picture with bloody stools, dysentery and potentially haemolytic uraemic syndrome (EHEC strains). [healthengine.com.au]
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Severe Abdominal Pain
In September 2005, the Sanitary Surveillance Service of Rio de Janeiro (SSS/RJ), Brazil, investigated a case of gastroenteritis involving a 13-year-old teenager hospitalized because of bloody diarrhea and severe abdominal pain. [ncbi.nlm.nih.gov]
People usually have severe abdominal pain and diarrhea many times a day. They also often feel an urge to defecate but may not be able to. Most people do not have a fever. [msdmanuals.com]
Some signs and symptoms include: Diarrhea that is severe or acute and persists for more than a few days Bloody stool Fever Severe abdominal pain, cramping and/or bloating These tests are often ordered when a community-wide E. coli outbreak is suspected [labtestsonline.org]
Identification of verotoxin-producing E. coli Clinical features Illness is characterised by severe abdominal pain, and cramping and watery diarrhoea that becomes grossly bloody and lasts for 5–10 days. Fever is usually mild or absent. [www2.health.vic.gov.au]
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Regurgitation
Her chest computed tomography revealed air bubbles surrounding the annulus of a mitral valve and a transesophageal echocardiogram revealed a hyperechogenic mass fixed on the posteromedial side of the mitral annulus with 2 eccentric mitral regurgitation [ncbi.nlm.nih.gov]
Ears
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Ear Discharge
Because extended-spectrum beta-lactamase (ESBL)-producing Escherichia coli was detected in the ear discharge and cerebrospinal fluid specimens, it was inferred to be the causal bacteria. [ncbi.nlm.nih.gov]
Neurologic
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Altered Mental Status
We report a case of 80-year-old female patient presenting with dizziness, fever, and altered mental status, who was finally diagnosed with emphysematous endocarditis caused by E coli harboring an AmpC BL gene. [ncbi.nlm.nih.gov]
Treatment
In addition, the combined BA and EDTA treatment retained its antimicrobial effect against E. coli O157:H7 for at least 6 cycles of treatment over 6 days at room temperature (22 C). [ncbi.nlm.nih.gov]
Prognosis
Due to their immunocompromised state, the prognosis is very poor and not well understood. We report a case of an atypical presentation of an E coli monomicrobial necrotizing fasciitis in a renal transplant patient. [ncbi.nlm.nih.gov]
Stool culture Prognosis of Escherichia Coli Infections (E.Coli) The prognosis depends on the specific diagnosis; therefore, no generalizations can be made. [healthengine.com.au]
Pollock KGJ Young D Clinical surveillance of haemolytic uraemic syndrome 2003–2009: renal prognosis at three-year follow up.Health Prot Scotl Wkly Rep. 2010; : 44 37. [thelancet.com]
Prognosis Most patients with pulmonary edema who seek immediate treatment can be treated quickly and effectively. Prevention Cardiogenic pulmonary edema can sometimes be prevented by treating the underlying heart disease. [medical-dictionary.thefreedictionary.com]
Etiology
Abstract Livedo reticularis is a red cutaneous netlike pattern that is caused by abnormalities of the microvascularization and can be associated with many other potential systemic etiologies. [ncbi.nlm.nih.gov]
The etiology of IBD remains elusive. However, genetic and environmental factors and a dysregulated mucosal immune response towards commensal bacteria are believed to contribute to the pathogenesis of IBD. [nbn-resolving.de]
Epidemiology of E. coli O157:H7 The disease etiology is universal and can be foodborne or environmental amongst others. [ehagroup.com]
Epidemiology
Molecular epidemiology and systematic epidemiological investigation can provide accurate evidence for tracking the infection source. [ncbi.nlm.nih.gov]
Objectives After completing this article, readers should be able to: Describe the epidemiology of E coli infections. Recognize the clinical features of E coli infections, including the O157:H7 strain. [pedsinreview.aappublications.org]
Use of pulsed-field gel electrophoresis for epidemiological study of Escherichia coli O157:H7 during a food-borne outbreak. Appl Environ Microbiol 1995 ;61: 2806 – 8. Google Scholar Medline ISI 12. [doi.org]
Pathophysiology
2005;11:603 ) ETEC organisms are the principal cause of traveler's diarrhea and spread via contaminated food or water EIEC / EAEC organisms are bacteriologically similar to Shigella and are transmitted via food, water or by person to person contact Pathophysiology [pathologyoutlines.com]
Pathophysiology of Escherichia coli pneumonia: respective contribution of pathogenicity islands to virulence. Int. J. Med. Microbiol. 308, 290–296. doi: 10.1016/j.ijmm.2018.01.003 PubMed Abstract CrossRef Full Text Google Scholar Pitout, J. [frontiersin.org]
Several types of aggregative fimbrial adhesins and enterotoxins play important roles in the pathophysiology of the disease. [antimicrobe.org]
Prevention
Vaccine development against ETEC has been identified as an important primary prevention strategy in developing countries and for travelers to these regions. [ncbi.nlm.nih.gov]
Understand ways to prevent E coli infections. Introduction Escherichia coli are normal inhabitants of the human large intestine. [pedsinreview.aappublications.org]