title: Combined infection of Norwalk-like virus and verotoxin-producing bacteria associated with a gastroenteritis outbreak.
abstract: Detection of multiple pathogens, particularly a combination of viruses and bacteria, is infrequently documented in outbreaks of gastroenteritis. This paper reports the presence of Norwalk-like virus (NLV) and enterohaemorrhagic verotoxin-producing Escherichia coli in one individual, and NLV and verotoxin-producing Aeromonas sobria in another individual, both part of a large gastroenteritis outbreak. The causes of gastroenteritis in such outbreaks may be more complex than previously thought.
authors.affiliation: Victorian Infectious Diseases Reference Laboratory, Carlton South, Victoria, Australia.
authors.forename: K A
authors.initials: KA
authors.lastname: Bettelheim
authors.forename: D S
authors.initials: DS
authors.lastname: Bowden
authors.forename: J C
authors.initials: JC
authors.lastname: Doultree
authors.forename: M G
authors.initials: MG
authors.lastname: Catton
authors.forename: D
authors.initials: D
authors.lastname: Chibo
authors.forename: N J
authors.initials: NJ
authors.lastname: Ryan
authors.forename: P J
authors.initials: PJ
authors.lastname: Wright
authors.forename: I C
authors.initials: IC
authors.lastname: Gunesekere
authors.forename: J M
authors.initials: JM
authors.lastname: Griffith
authors.forename: D
authors.initials: D
authors.lastname: Lightfoot
authors.forename: G G
authors.initials: GG
authors.lastname: Hogg
authors.forename: V
authors.initials: V
authors.lastname: Bennett-Wood
authors.forename: J A
authors.initials: JA
authors.lastname: Marshall
mesh_terms: D000333:Aeromonas / Q000302:isolation & purification* / Q000378:metabolism; D001315:Australia / Q000453:epidemiology; D001427:Bacterial Toxins / Q000302:isolation & purification*; D001431:Bacteriological Techniques; D004196:Disease Outbreaks; D019453:Escherichia coli O157 / Q000302:isolation & purification* / Q000378:metabolism; D005243:Feces / Q000382:microbiology; D005260:Female; D005759:Gastroenteritis / Q000453:epidemiology* / Q000382:microbiology / Q000821:virology; D006801:Humans; D008854:Microscopy, Electron; D009663:Norwalk virus / Q000235:genetics / Q000302:isolation & purification*; D016133:Polymerase Chain Reaction; D022622:Shiga Toxin 1
chemical_list: D001427:Bacterial Toxins; D022622:Shiga Toxin 1