E. Coli 0157:H7

Medical Author: Dennis Lee, MD
Medical Editor: Jay W. Marks, MD

• What is E. coli?
• What is E. coli 0157:H7?
• What are the complications of infection with E. coli 0157:H7?
• How do people get E. coli 0157:H7?
• What are the symptoms of E. coli 0157:H7 and how is it diagnosed?
• What is the treatment for E. coli 0157:H7?
• How can you prevent infection from E. coli 0157:H7?
• E. Coli 0157:H7 At A Glance

E. Coli Infections – The Facts Medical Author: Melissa Stoppler, M.D. Medical Editor: Barbara K. Hecht, Ph.D. Warnings from the U.S. Food and Drug Administration in September 2006 advised consumers not to buy or eat raw spinach from any source, citing a widespread outbreak of E. coli infection that led to over 100 cases of illness, including one death. The infections resulted from contamination of raw spinach by E. coli bacteria. It is not clear if the bacterial contamination occurred in the field or during processing of the spinach. Now, in 2007, a number of ground beef products were recalled after contamination with E. coli was found, and outbreaks have continued. A restaurant in Effingham, Illinois, was identified as the source of an E. coli outbreak that resulted in at least six confirmed cases of E. coli O157:H7 among customers in September 2007, and an outbreak also occurred among students at an Indiana elementary school. Escherichia coli, or E. coli for short, is a very common bacterium. There are hundreds of different strains of E. coli. Some are harmless while others cause serious illness on-pathogenic strains of E. coli -- those that do not cause disease -- are normal inhabitants of the intestinal tract in humans and animals. But certain strains of E. coli can cause severe diarrhea and infect the genital and urinary tracts. Read more about E. coli FAQs » Top Searched E. coli Terms: symptoms, treatment, raw meat products, foods that contain E. coli, bacteria, fish and e. coli, pathogenic, poisoning symptoms, E. coli diarrhea, bladder infection

What is E. coli?

Escherichia coli (E. coli) is a bacterium that commonly lives in the intestines of people and animals. There are many strains (types) of E. coli. Most of the E. coli are normal inhabitants of the small intestine and colon and are non-pathogenic, meaning they do not cause disease in the intestines. Nevertheless, these non-pathogenic E. coli can cause disease if they spread outside of the intestines, for example, into the urinary tract (where they cause bladder or kidney infections) or into the blood stream (sepsis).

Some strains of E. coli are pathogenic, meaning they can cause disease in the small intestine and colon. These pathogenic strains of E. coli may cause diarrhea by producing and releasing toxins (called enterotoxigenic E. coli or ETEC) that cause the intestine to secrete fluid or by invading and inflaming the lining of the small intestine and the colon (called enteropathogenic E. coli or EPEC). A third strain of E. coli has a tendency to cause inflammation of the colon and bloody diarrhea (called enterohemorrhagic E. coli or EHEC).

What is E. coli 0157:H7?

E coli O157:H7 is a strain of EHEC. It causes colitis and bloody diarrhea by producing a toxin called Shiga toxin, which damages the intestines.

E. coli 0157:H7 is a major health problem. It is estimated to cause infection in more than 70,000 patients a year in the United States. It has been reported to cause both large outbreaks as well as isolated sporadic infections in small numbers of individuals. This diarrheal illness was first recognized when the Centers for Disease Control (CDC) isolated E. coli O157:H7 from patients in two separate outbreaks in Oregon and Michigan. The illness was associated with eating hamburgers at the restaurants of one national chain. Thus, hemorrhagic colitis due to E, coli 0157:H7 is commonly referred to as hamburger disease.

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