RT Book, Section
A1 Boslett, Bryn A.
A1 Bystritsky, Rachel
A2 Papadakis, Maxine A.
A2 McPhee, Stephen J.
A2 Rabow, Michael W.
A2 McQuaid, Kenneth R.
SR Print(0)
ID 1193136731
T1 Gastroenteritis Caused by Escherichia Coli
T2 Current Medical Diagnosis & Treatment 2023
YR 2023
FD 2023
PB McGraw-Hill Education
PP New York, NY
SN 9781264687343
LK accessmedicine.mhmedical.com/content.aspx?aid=1193136731
RD 2024/09/18
AB E  coli  causes  gastroenteritis  by  a  variety  of  mechanisms.  Enterotoxigenic  E  coli  (ETEC)  elaborates  either  a  heat-stable  or  heat-labile  toxin  that  mediates  the  disease.  ETEC  is  an  important  cause  of  traveler’s  diarrhea  (see  Chapter  30,  Traveler’s  Diarrhea).  Enteroinvasive  E  coli  (EIEC)  differs  from  other  E  coli  bowel  pathogens  in  that  these  strains  invade  cells,  causing  bloody  diarrhea  and  dysentery  similar  to  infection  with  Shigella  species.  EIEC  is  uncommon  in  the  United  States.  Neither  ETEC  nor  EIEC  strains  are  routinely  isolated  and  identified  from  stool  cultures  because  there  is  no  selective  medium  but  can  be  detected  on  stool-based  multiplex-PCR.  Antimicrobial  therapy,  such  as  ciprofloxacin  500  mg  orally  twice  daily,  shortens  the  clinical  course,  but  the  disease  is  self-limited.