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Previous Volume 355:1952-1955 November 9, 2006 Number 19 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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First it was hamburger, then municipal water, apple cider, swimming in the lake, the day-care center, the petting zoo . . . and now, spinach. Is nothing safe?

Between August 19 and September 5, 2006, symptomatic enteritis from Shiga toxin–producing Escherichia coli O157:H7 infection was reported in 199 persons in 26 states in association with consumption of fresh spinach or spinach-containing products from commercial brands processed by Natural Selection Foods of San Juan Bautista, California.¹ One hundred two of these persons (51%) had been hospitalized as of October 6, and 31 (16%) had acute renal failure from the hemolytic–uremic syndrome or thrombotic . . . [Full Text of this Article]

Source Information

Dr. Maki is a professor of medicine at the University of Wisconsin School of Medicine and Public Health and hospital epidemiologist at the University of Wisconsin Hospital and Clinics — both in Madison.

An interview with Dr. Maki can be heard at www.nejm.org.

This article has been cited by other articles:

• Maki, D. G. (2009). Coming to Grips with Foodborne Infection -- Peanut Butter, Peppers, and Nationwide Salmonella Outbreaks. NEJM 360: 949-953 [Full Text]  
• Jandu, N., Zeng, Z. J., Johnson-Henry, K. C., Sherman, P. M. (2009). Probiotics prevent enterohaemorrhagic Escherichia coli O157 : H7-mediated inhibition of interferon-{gamma}-induced tyrosine phosphorylation of STAT-1. Microbiology 155: 531-540 [Abstract] [Full Text]  
• Gobert, A. P., Vareille, M., Glasser, A.-L., Hindre, T., de Sablet, T., Martin, C. (2007). Shiga Toxin Produced by Enterohemorrhagic Escherichia coli Inhibits PI3K/NF-{kappa}B Signaling Pathway in Globotriaosylceramide-3-Negative Human Intestinal Epithelial Cells. J. Immunol. 178: 8168-8174 [Abstract] [Full Text]  
• Vareille, M., de Sablet, T., Hindre, T., Martin, C., Gobert, A. P. (2007). Nitric oxide inhibits Shiga-toxin synthesis by enterohemorrhagic Escherichia coli. Proc. Natl. Acad. Sci. USA 104: 10199-10204 [Abstract] [Full Text]