title: Shiga toxin-producing Escherichia coli-associated kidney failure in a 40-year-old patient and late diagnosis by novel bacteriologic and toxin detection methods.
abstract: Infection with Shiga toxin-producing Escherichia coli (STEC) is the most common cause of kidney failure in children. High morbidity is also associated with infections in the elderly. We describe STEC-associated kidney failure in a 40-year-old patient, including the methods used to identify STEC a month after disease onset.
authors.affiliation: Uniformed Services University of the Health Sciences, Bethesda, Maryland 20814, USA. lteel@usuhs.mil
authors.forename: Louise D
authors.initials: LD
authors.lastname: Teel
authors.forename: Brett R
authors.initials: BR
authors.lastname: Steinberg
authors.forename: Naomi E
authors.initials: NE
authors.lastname: Aronson
authors.forename: Alison D
authors.initials: AD
authors.lastname: O'Brien
mesh_terms: D000328:Adult; D004927:Escherichia coli Infections / Q000150:complications* / Q000175:diagnosis* / Q000382:microbiology; D019453:Escherichia coli O157 / Q000235:genetics / Q000302:isolation & purification* / Q000378:metabolism; D006801:Humans; D008297:Male; D051437:Renal Insufficiency / Q000382:microbiology*; D022622:Shiga Toxin 1 / Q000096:biosynthesis; D022641:Shiga Toxin 2 / Q000096:biosynthesis
chemical_list: D022622:Shiga Toxin 1; D022641:Shiga Toxin 2