title: Colonic ischaemia as a severe Shiga toxin/verotoxin producing Escherichia coli O104:H4 complication in a patient without haemolytic uraemic syndrome, Germany, June 2011.
abstract: An increasing rate of infections with Shiga toxin/verotoxin-producing Escherichia coli (STEC/VTEC) O104:H4 has been observed in Germany since May 2011, with unusually high numbers of patients suffering from haemolytic uraemic syndrome (HUS). We report a STEC/VTEC O104:H4 case without HUS, presenting with colonic ischaemia demanding surgery. This atypical clinical presentation of STEC O104:H4 infection might indicate new severe complications associated with this uncommon strain, and highlights the importance of immediate interdisciplinary assessment of STEC/VTEC patients.
authors: Department of General and Visceral Surgery, Raphaelsklinik Munster, Germany. s.cordesmeyer@raphaelsklinik.de
authors: S
authors: S
authors: Cordesmeyer
authors: U
authors: U
authors: Peitz
authors: N
authors: N
authors: Gödde
authors: H U
authors: HU
authors: Kasper
authors: M W
authors: MW
authors: Hoffmann
authors: E
authors: E
authors: Allemeyer
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000369:Aged, 80 and over; D001427:Bacterial Toxins / Q000096:biosynthesis* / Q000302:isolation & purification; D003082:Colectomy; D003106:Colon / Q000098:blood supply / Q000601:surgery; D003967:Diarrhea / Q000382:microbiology; D004724:Endoscopy; D004927:Escherichia coli Infections / Q000150:complications* / Q000382:microbiology; D005243:Feces / Q000382:microbiology; D005260:Female; D005751:Gastric Lavage; D005858:Germany; D006463:Hemolytic-Uremic Syndrome; D006801:Humans; D007511:Ischemia / Q000150:complications / Q000601:surgery; D012720:Severity of Illness Index; D054323:Shiga-Toxigenic Escherichia coli / Q000302:isolation & purification*; D016896:Treatment Outcome
chemical_list: D001427:Bacterial Toxins