title: Sepsis caused by food-borne infection with Escherichia coli.
abstract: We report a case of sepsis caused by Escherichia coli (E. coli) of serotype O-143. A 78-year-old man developed symptoms of gastroenteritis after ingesting raw meat on noodles. He rapidly developed respiratory failure. Blood culture grew E. coli. The sepsis seemed to have directly spread from a food-borne infection. The development of primary sepsis after ingesting E. coli is very rare. We suspect that bacterial translocation played a major role. Serotype O-143 is recognized in enteroinvasive E. coli (EIEC) as well as in Shigella dysenteriae. The pathogen in the present case is suspected of being EIEC although the isolated E. coli strain was negative for the inv and ipa genes.
authors.affiliation: Respiratory Disease Center, Department of Microbiology, Toho University School of Medicine, Tokyo, Japan.
authors.forename: Keiko
authors.initials: K
authors.lastname: Wachi
authors.forename: Kazuhiro
authors.initials: K
authors.lastname: Tateda
authors.forename: Yoshihiro
authors.initials: Y
authors.lastname: Yamashiro
authors.forename: Miki
authors.initials: M
authors.lastname: Takahashi
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Matsumoto
authors.forename: Nobuhiko
authors.initials: N
authors.lastname: Furuya
authors.forename: Yoshikazu
authors.initials: Y
authors.lastname: Ishii
authors.forename: Yoshikiyo
authors.initials: Y
authors.lastname: Akasaka
authors.forename: Keizo
authors.initials: K
authors.lastname: Yamaguchi
authors.forename: Kou
authors.initials: K
authors.lastname: Uchida
mesh_terms: D000368:Aged; D003937:Diagnosis, Differential; D004926:Escherichia coli / Q000302:isolation & purification*; D004927:Escherichia coli Infections / Q000150:complications* / Q000175:diagnosis / Q000382:microbiology; D017809:Fatal Outcome; D005517:Foodborne Diseases / Q000150:complications* / Q000175:diagnosis / Q000382:microbiology; D006801:Humans; D008297:Male; D018805:Sepsis / Q000175:diagnosis / Q000209:etiology* / Q000382:microbiology