Outbreak of gastroenteritis highlighting the diagnostic and epidemiological challenges of enteroinvasive Escherichia coli , County of Halland, Sweden, November 2017

Euro Surveillance : Bulletin Européen Sur Les Maladies Transmissibles = European Communicable Disease Bulletin
Nina LagerqvistCecilia Jernberg

Abstract

An outbreak of gastroenteritis with 83 cases occurred at a conference venue in November 2017 in Halland County, Sweden. Stool samples from two venue visitors and a symptomatic secondary case attributed to household transmission were PCR-positive for the ipaH gene, a target found in both Shigella spp. and enteroinvasive Escherichia coli (EIEC). EIEC was isolated from stool samples and whole genome sequencing analysis confirmed EIEC O96:H19 to be the aetiological agent. A cohort study was conducted among venue attendees and employees and the findings implicated contaminated leafy greens as the vehicle of infection, however, no microbiological evidence could support the study results. Here, we report the investigation into the first recorded EIEC outbreak in Sweden and illustrate the challenges associated with the differential laboratory diagnostics of Shigella/EIEC in an outbreak setting.

References

Jul 1, 1971·The New England Journal of Medicine·H L DuPontJ P Kalas
Mar 1, 1984·The American Journal of Tropical Medicine and Hygiene·J D SnyderP A Blake
Jan 1, 1982·Transactions of the Royal Society of Tropical Medicine and Hygiene·D E Agbonlahor, T O Odugbemi
Jun 29, 2004·Public Health Reports·Roisin M RooneyPeter K Benembarek
Aug 19, 2011·Journal of Clinical Microbiology·Stephen J Salipante, Barry G Hall
Sep 9, 2011·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·M J C van den Beld, F A G Reubsaet
Mar 1, 2012·Epidemiology and Infection·B L NygrenE D Mintz
Oct 5, 2013·Clinical Microbiology Reviews·Matthew A CroxenB Brett Finlay
Nov 10, 2015·Clinical Microbiology and Infection : the Official Publication of the European Society of Clinical Microbiology and Infectious Diseases·V MichelacciS Morabito
Jun 18, 2016·Emerging Infectious Diseases·Sophie NewittJeremy Hawker
Oct 22, 2016·European Journal of Microbiology & Immunology·I LøbersliL T Brandal
Dec 20, 2017·Lancet·Karen L KotloffAnita K M Zaidi
Dec 21, 2017·Frontiers in Microbiology·Martina PasquaGianni Prosseda
Jan 13, 2018·Frontiers in Public Health·Joana RevezUNKNOWN ECDC National Microbiology Focal Points and Experts Group
Jul 27, 2018·Current Opinion in Infectious Diseases·Stephen Baker, Hao Chung The

❮ Previous
Next ❯

Citations

Nov 13, 2020·Emerging Microbes & Infections·Ying HuaAndreas Matussek

❮ Previous
Next ❯

Datasets Mentioned

BETA
ERS3907568
ERS3907569

Methods Mentioned

BETA
PCR

Software Mentioned

BLAST
CLC cell
MSTgold
Stata

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.