Verocytotoxin-producingEscherichia coli infection in hemolytic uremic syndrome in part of Western Europe

From September 1989 until September 1993, stool specimens and sera from 113 children with diarrhoea-associated haemolytic uraemic syndrome (HUS) from the Netherlands, two university hospitals in Belgium and one university hospital in Germany were examined for the presence of verocytotoxin-producingE...

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Veröffentlicht in:European journal of pediatrics 1996-07, Vol.155 (7), p.592-595
Hauptverfasser: van de Kar, Nicole C. A. J., Roelofs, Hannie G. R., Muytjens, Harry L., Tolboom, Jules J. M., Roth, Bernhard, Proesmans, Willem, Reitsma-Bierens, Willy C. C., Wolff, Eric D., Karmali, Mohamed A., Chart, Herik, Monnens, Leo A. H.
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container_end_page 595
container_issue 7
container_start_page 592
container_title European journal of pediatrics
container_volume 155
creator van de Kar, Nicole C. A. J.
Roelofs, Hannie G. R.
Muytjens, Harry L.
Tolboom, Jules J. M.
Roth, Bernhard
Proesmans, Willem
Reitsma-Bierens, Willy C. C.
Wolff, Eric D.
Karmali, Mohamed A.
Chart, Herik
Monnens, Leo A. H.
description From September 1989 until September 1993, stool specimens and sera from 113 children with diarrhoea-associated haemolytic uraemic syndrome (HUS) from the Netherlands, two university hospitals in Belgium and one university hospital in Germany were examined for the presence of verocytotoxin-producingEscherichia coli (VTEC) infection. Evidence for VTEC infection was observed in 88 (78%) patients with HUS compared to 2 (3%) of the 65 children with acute gastro-enteritis Serotype O157 was the causative agent in 76 (86%) of these 88 patients with VTEC-associated HUS and verocytotoxin-2 (VT-2) was the most frequent toxin produced. Serological testing for antibodies to O157 O-antigen yielded the highest number of positive results compared to the other test methods. Antibodies to O157 were found in sera of 71 (65%) of 110 patients with HUS and one control serum. Stool and sera examination for VTEC in 95 family contacts of 28 patients with HUS demonstrated an evidence for VTEC infection 33 (35%). In contrast, in patients with HUS serological antibodies to O157 O-antigen were found in only 3 (4%) of 85 family contacts.
doi_str_mv 10.1007/BF01957911
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A. J. ; Roelofs, Hannie G. R. ; Muytjens, Harry L. ; Tolboom, Jules J. M. ; Roth, Bernhard ; Proesmans, Willem ; Reitsma-Bierens, Willy C. C. ; Wolff, Eric D. ; Karmali, Mohamed A. ; Chart, Herik ; Monnens, Leo A. H.</creator><creatorcontrib>van de Kar, Nicole C. A. J. ; Roelofs, Hannie G. R. ; Muytjens, Harry L. ; Tolboom, Jules J. M. ; Roth, Bernhard ; Proesmans, Willem ; Reitsma-Bierens, Willy C. C. ; Wolff, Eric D. ; Karmali, Mohamed A. ; Chart, Herik ; Monnens, Leo A. H.</creatorcontrib><description>From September 1989 until September 1993, stool specimens and sera from 113 children with diarrhoea-associated haemolytic uraemic syndrome (HUS) from the Netherlands, two university hospitals in Belgium and one university hospital in Germany were examined for the presence of verocytotoxin-producingEscherichia coli (VTEC) infection. Evidence for VTEC infection was observed in 88 (78%) patients with HUS compared to 2 (3%) of the 65 children with acute gastro-enteritis Serotype O157 was the causative agent in 76 (86%) of these 88 patients with VTEC-associated HUS and verocytotoxin-2 (VT-2) was the most frequent toxin produced. Serological testing for antibodies to O157 O-antigen yielded the highest number of positive results compared to the other test methods. Antibodies to O157 were found in sera of 71 (65%) of 110 patients with HUS and one control serum. Stool and sera examination for VTEC in 95 family contacts of 28 patients with HUS demonstrated an evidence for VTEC infection 33 (35%). 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subjects Antibodies
Antigens
Children
Diarrhea
Enteritis
Hemolytic uremic syndrome
Immunoglobulins
Infections
Verocytotoxin
title Verocytotoxin-producingEscherichia coli infection in hemolytic uremic syndrome in part of Western Europe
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