Enterocolitis with pathogenic Escherichia coli infection in renal transplant recipients: case reports.
OBJECTIVE
We report three cases of enterocolitis associated with pathogenic Escherichia coli infection in renal transplant recipients.


RESULTS
Patients presented with abdominal pain and diarrhea at 1, 3 and 7 years after living-related renal transplantation. Pathogens of enterocolitis were identified by stool culture as verotoxin-2-producing O157:H7 E. coli, non-verotoxin-producing E. coli 06 and 0125. All patients were basically treated with fluid replacement with additional fosfomycin administration in the patient with O157:H7 E. coli infection. Immunosuppressive drugs were kept at maintenance doses throughout the treatment.


CONCLUSIONS
All patients recovered uneventfully within 10 days after the onset of enterocolitis without severe complications.
Watarai
Y
Y
Department of Urology, Hokkaido University School of Medicine, Sapporo, Japan. watarai@med.hokudai.ac.jp
Takeuchi
I
I
Usuki
T
T
Hirano
T
T
Koyanagi
T
T
D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D004760:Enterocolitis / Q000382:microbiology* / Q000628:therapy; D004927:Escherichia coli Infections / Q000188:drug therapy; D005260:Female; D005440:Fluid Therapy; D005578:Fosfomycin / Q000627:therapeutic use; D006801:Humans; D016030:Kidney Transplantation; D008297:Male; D011183:Postoperative Complications
D000900:Anti-Bacterial Agents; D005578:Fosfomycin