Evidence of transmission of verocytotoxin-producing Escherichia coli O111 from a cattle stable to a child.
Infections with verocytotoxigenic Escherichia coli (VTEC) other than O157 have been assumed to have the same epidemiology as those with VTEC O157, but the source of infection is rarely defined for sporadic cases. This report describes a child with VTEC O111:H- infection who was probably infected by playing in a cattle stable and/or by drinking raw milk from the cows in this stable. E. coli O111 isolates colonising the cattle were indistinguishable from the patient isolate by the use of serotyping, pulsed-field gel electrophoresis, and virulence profiling.
Møller Nielsen
E
E
Statens Serum Institut, Unit of Gastrointestinal Infections, Copenhagen, Denmark. emn@ssi.dk
Jensen
C
C
Lau Baggesen
D
D
D000818:Animals; D002417:Cattle; D003718:Denmark / Q000453:epidemiology; D003967:Diarrhea / Q000453:epidemiology* / Q000382:microbiology; D016521:Electrophoresis, Gel, Pulsed-Field; D004781:Environmental Exposure; D004926:Escherichia coli / Q000235:genetics / Q000302:isolation & purification / Q000378:metabolism; D004927:Escherichia coli Infections / Q000453:epidemiology* / Q000635:transmission; D005243:Feces / Q000382:microbiology; D005260:Female; D006801:Humans; D007223:Infant; D012307:Risk Factors; D022603:Shiga Toxins / Q000096:biosynthesis
D022603:Shiga Toxins