title: Diarrhea, Urosepsis and Hemolytic Uremic Syndrome Caused by the Same Heteropathogenic Escherichia coli Strain.
abstract: We describe an 8-month-old girl with diarrhea, urosepsis and hemolytic uremic syndrome caused by Escherichia coli. Typing of cultured E. coli strains from urine and blood revealed the presence of virulence factors from multiple pathotypes of E. coli. This case exemplifies the genome plasticity of E. coli and the resulting heteropathogenic strains.
authors.affiliation: From the *Department of Medical Microbiology & Infection Control, VU University Medical Center, Amsterdam, The Netherlands; †Department of Pediatric Nephrology, Emma Children's Hospital/Academic Medical Center, Amsterdam, The Netherlands; ‡Department of Medical Microbiology, University of Groningen, University Medical Center Groningen, Groningen, Netherlands; §Department of Pediatric Infectious Diseases, ¶Pediatric Intensive Care Unit, and ‖Department of Pediatric Nephrology, VU University Medical Center, Amsterdam, The Netherlands.
authors.forename: C Wim
authors.initials: CW
authors.lastname: Ang
authors.forename: Antonia H M
authors.initials: AH
authors.lastname: Bouts
authors.forename: John W A
authors.initials: JW
authors.lastname: Rossen
authors.forename: Martijn
authors.initials: M
authors.lastname: Van der Kuip
authors.forename: Marc
authors.initials: M
authors.lastname: Van Heerde
authors.forename: Arend
authors.initials: A
authors.lastname: Bökenkamp
mesh_terms: D003967:Diarrhea / Q000382:microbiology*; D004926:Escherichia coli; D004927:Escherichia coli Infections / Q000382:microbiology*; D005260:Female; D006463:Hemolytic-Uremic Syndrome / Q000382:microbiology*; D006801:Humans; D007223:Infant; D018805:Sepsis / Q000382:microbiology*