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Volume 352:1267-1268 March 24, 2005 Number 12
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Contagious Acute Gastrointestinal Infections

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by Musher, D. M.
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To the Editor: The review of contagious acute gastrointestinal infections by Musher and Musher (Dec. 2 issue)1 is incomplete with respect to bacterial causes of acute gastrointestinal illness. With more than 50 million international travelers a year and rates of incidence of acute diarrhea among such travelers as high as 50 percent,2 enterotoxigenic and enteroaggregative Escherichia coli are important causes of acute bacterial diarrhea, accounting for 30 percent and 26 percent of cases, respectively.3 Enterotoxigenic E. coli and enteroaggregative E. coli infections are spread through water or food contaminated by bacteria from the feces of infected persons.3,4 A high inoculum . . . [Full Text of this Article]



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