In the decade since its initial description in the Journal,1Escherichia coli O157:H7 has emerged as a major cause of bothsporadic cases and outbreaks of diarrhea in North America. Thefirst report described outbreaks of gastrointestinal illnessthat were associated with the consumption of undercooked groundbeef from a chain of fast-food restaurants. At the time, littlewas known about the pathophysiology, epidemiology, or clinicalsequelae of infection with E. coli O157:H7. Since that report,several studies have shown that infection with E. coli O157:H7is responsible for most cases of the hemolyticuremicsyndrome, which is a major cause . . . [Full Text of this Article]
Epidemiology
Incidence
Geographic and Seasonal Factors
Transmission
Pathophysiology and Immunity
Clinical Manifestations
Diagnosis
Treatment
Recognition of and Response to Outbreaks
Source Information
From the Foodborne and Diarrheal Diseases Branch, Division of Bacterial and Mycotic Diseases, National Center for Infectious Diseases (T.G.B., D.L.S., P.M.G.), and the Epidemic Intelligence Service, Epidemiology Program Office (T.G.B.), Centers for Disease Control and Prevention both in Atlanta.
Address reprint requests to Dr. Boyce at the Centers for Disease Control and Prevention, Mailstop A-38, Atlanta, GA 30333.
References
Related Letters:
Escherichia coli O157:H7
Guerrant R. L., Theno D. M., Ryan M. J., Wall P. G., Cheasty T., Boyce T. G., Swerdlow D. L., Griffin P. M.
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N Engl J Med 1995;
333:1711-1712, Dec 21, 1995.
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