Sepsis Caused by Food-borne Infection with Escherichia coli

元データ 2005-12-01 社団法人 日本内科学会

概要

We report a case of sepsis caused by Escherichia coli (E. coli) of serotype O-143. A 78-year-old man developed symptoms of gastroenteritis after ingesting raw meat on noodles. He rapidly developed respiratory failure. Blood culture grew E. coli. The sepsis seemed to have directly spread from a food-borne infection. The development of primary sepsis after ingesting E. coli is very rare. We suspect that bacterial translocation played a major role. Serotype O-143 is recognized in enteroinvasive E. coli (EIEC) as well as in Shigella dysenteriae. The pathogen in the present case is suspected of being EIEC although the isolated E. coli strain was negative for the inv and ipa genes.

著者

YAMAGUCHI Keizo Department of Microbiology, Toho University School of Medicine
ISHII Yoshikazu Department of Microbiology, Toho University School of Medicine
Tateda Kazuhiro Department Of Microbiology And Infectious Disease Toho University School Of Medicine
Ishii Yoshikazu 東邦大学 医学部微生物感染症学
Matsumoto Tetsuya Department of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science
Yamaguchi Keizo Department Of Microbiology And Infectious Disease Toho University School Of Medicine
Matsumoto Tetsuya Department Of Cardiovascular And Respiratory Medicine Shiga University Of Medical Science
Furuya Nobuhiko Department Of Microbiology Toho University School Of Medicine
WACHI Keiko Respiratory Disease Center, Toho University School of Medicine
YAMASHIRO Yoshihiro Respiratory Disease Center, Toho University School of Medicine
TAKAHASHI Miki Respiratory Disease Center, Toho University School of Medicine
AKASAKA Yoshikiyo Second Department of Pathology, Toho University School of Medicine
UCHIDA Kou Respiratory Disease Center, Toho University School of Medicine
Akasaka Yoshikiyo Second Department Of Pathology Toho University School Of Medicine
Ishii Yoshikazu Department Of Microbiology And Infectious Disease Toho University School Of Medicine
Takeda Kazuhiro Department Of Microbiology Toho University School Of Medicine
Matsumoto Tetsuya Department Of Microbiology Tokyo Medical University
Yamaguchi Keizo Department Of Infectious Diseases Toho University School Of Medicine
Uchida Kou Respiratory Disease Center Toho University School Of Medicine
Wachi Keiko Respiratory Disease Center Toho University School Of Medicine
Takahashi Miki Respiratory Disease Center Toho University School Of Medicine
Matsumoto Tetsuya The Department Of Microbiology Toho University School Of Medicine
Yamashiro Yoshihiro Respiratory Disease Center Toho University School Of Medicine
Akasaka Yoshikiyo School Of Pharmacy Tokyo University Of Pharmacy And Life Science
Matsumoto Tetsuya Department Of Cardiovascular And Respiratory Medicine
Ishii Yoshikazu Department Of Microbiology Toho University School Of Medicine
Yamaguchi Keizo Department Of Clinical Laboratory Nagasaki University Hospital

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