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Clinical Pediatrics
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*E. Coli Infections
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Article

Clinical Spectrum of Shiga Toxin-Producing Escherichia coli (STEC) in Adults and Children

Stephanie Simon Appleman*, David Ascher, and Choong Park

* To whom correspondence should be addressed. E-mail: stephanie_appleman{at}yahoo.com.


  Abstract
This report describes the clinical spectrum of disease among a series of pediatric and adult patients with symptoms of gastroenteritis that subsequently tested positive for Shiga toxin–producing Escherichia coli in their stool. All diarrheal stools (n = 1712) between July 2005 and November 2006 were tested with Premier EHEC (Meridian Bioscience, Cincinnati, OH). A total of 1.6% patients (27/1712) tested positive and 41% of patients had non-0157 E. coli, which can cause moderate disease requiring hospitalization. Cases of non0157 E. coli would have been missed without testing for Shiga toxin. All bloody stools, and perhaps all stools, should be tested for Shiga toxin.

First published on July 22, 2008, doi:10.1177/0009922808321901

Clinical Pediatrics 2009;48:99.

A more recent version of this article appeared on January 1, 2009

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