Mar 1, 1987

Escherichia coli that cause diarrhea: enterotoxigenic, enteropathogenic, enteroinvasive, enterohemorrhagic, and enteroadherent

The Journal of Infectious Diseases
M M Levine

Abstract

There are four major categories of diarrheagenic Escherichia coli: enterotoxigenic (a major cause of travelers' diarrhea and infant diarrhea in less-developed countries), enteroinvasive (a cause of dysentery), enteropathogenic (an important cause of infant diarrhea), and enterohemorrhagic (a cause of hemorrhagic colitis and hemolytic uremic syndrome). Besides manifesting distinct clinical patterns, these categories of E. coli differ in their epidemiology and pathogenesis and in their O:H serotypes. Common features (albeit distinct for each category) include plasmid-encoded virulence properties, characteristic interactions with intestinal mucosa, and elaboration of various types of enterotoxins or cytotoxins. A less-well-defined fifth category of diarrheagenic E. coli is that of enteroadherent E. coli, so far identifiable only by their pattern of adherence to Hep-2 cells in tissue culture.

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Mentioned in this Paper

Pathogenic Aspects
Heat stable enterotoxin I
Pathogenesis
Alkalescens-Dispar Group
Pathogenicity
Bacterial Toxins
Sex Pili Structural Proteins
Escherichia Coli Infections
Somatic O, heat-labile enterotoxin, E coli
Cytotoxin

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