title: Household transmission of haemolytic uraemic syndrome associated with Escherichia coli O104:H4 in the Netherlands, May 2011.
abstract: Following the outbreak of haemolytic uraemic syndrome (HUS) and haemorrhagic colitis in Germany, two patients returning from a stay in Germany developed HUS due to Escherichia coli O104:H4 in the Netherlands. The index case developed symptoms eight days, and her child 15 days after their return. It is very likely that transmission resulted from secondary spread from mother to child. Recommendations should be made to prevent secondary transmission within households.
authors: Department Medical Microbiology, Centre for Infectious Diseases, Leiden University Medical Centre, Leiden, the Netherlands. e.j.kuijper@lumc.nl
authors: E J
authors: EJ
authors: Kuijper
authors: D
authors: D
authors: Soonawala
authors: C
authors: C
authors: Vermont
authors: J T
authors: JT
authors: van Dissel
mesh_terms: D000328:Adult; D003092:Colitis / Q000150:complications; D003967:Diarrhea / Q000175:diagnosis / Q000382:microbiology*; D004926:Escherichia coli / Q000145:classification / Q000302:isolation & purification*; D004927:Escherichia coli Infections / Q000150:complications / Q000175:diagnosis / Q000635:transmission*; D005191:Family Characteristics; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000150:complications; D006463:Hemolytic-Uremic Syndrome / Q000150:complications / Q000175:diagnosis / Q000382:microbiology*; D006801:Humans; D007223:Infant; D009426:Netherlands; D016133:Polymerase Chain Reaction