Posted by sally from IP 71.37.237.92 on July 30, 2006 at 16:35:23:
In Reply to: Re: q9 not nbme q posted by Argie on July 30, 2006 at 16:19:12:
yes, it causes bloody diarrhea but look IT HAS FEVER. WHERE AS :-
Enterohemorrhagic E. coli (EHEC)
EHEC are represented by a single strain (serotype O157:H7), which causes a diarrheal syndrome distinct from EIEC (and Shigella) in that there is copious bloody discharge and no fever. A frequent life-threatening situation is its toxic effects on the kidneys (hemolytic uremia).
EHEC has recently been recognized as a cause of serious disease often associated with ingestion of inadequately cooked hamburger meat. Pediatric diarrhea caused by this strain can be fatal due to acute kidney failure (hemolytic uremic syndrome [HUS]). EHEC are also considered to be "moderately invasive". Nothing is known about the colonization antigens of EHEC but fimbriae are presumed to be involved. The bacteria do not invade mucosal cells as readily as Shigella, but EHEC strains produce a toxin that is virtually identical to the Shiga toxin. The toxin plays a role in the intense inflammatory response produced by EHEC strains and may explain the ability of EHEC strains to cause HUS. The toxin is phage encoded and its production is enhanced by iron deficiency.