Sepsis caused by food-borne infection with Escherichia coli.
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.
Wachi
Keiko
K
Respiratory Disease Center, Department of Microbiology, Toho University School of Medicine, Tokyo, Japan.
Tateda
Kazuhiro
K
Yamashiro
Yoshihiro
Y
Takahashi
Miki
M
Matsumoto
Tetsuya
T
Furuya
Nobuhiko
N
Ishii
Yoshikazu
Y
Akasaka
Yoshikiyo
Y
Yamaguchi
Keizo
K
Uchida
Kou
K
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