INTRODUCTION Enterohemorrhagic Escherichia Coli Is a Foodborne
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Human Illness Caused by E. Coli O157:H7 from Food and Non-Food Sources
FRI BRIEFINGS Human Illness Caused by E. coli O157:H7 from Food and Non-food Sources M. Ellin Doyle1*, John Archer2, Charles W. Kaspar1, and Ronald Weiss1 1Food Research Institute, University of Wisconsin–Madison, Madison, WI 53706 2Wisconsin Division of Public Health, Bureau of Communicable Diseases and Preparedness, Communicable Disease Epidemiology Section, Madison, WI 53702 Contents Introduction ...................................................................................................................................2 Epidemiology of E. coli O157:H7..................................................................................................2 Outbreak Data ........................................................................................................................2 Reservoirs of E. coli O157:H7 ..............................................................................................3 Cattle—the primary reservoir ........................................................................................3 Other ruminants .............................................................................................................4 Other animals .................................................................................................................4 Transport Hosts......................................................................................................................4 Routes of Human Infection ....................................................................................................5 -
How Do Pathogenic Microorganisms Develop Cross-Kingdom Host Jumps? Peter Van Baarlen1, Alex Van Belkum2, Richard C
Molecular mechanisms of pathogenicity: how do pathogenic microorganisms develop cross-kingdom host jumps? Peter van Baarlen1, Alex van Belkum2, Richard C. Summerbell3, Pedro W. Crous3 & Bart P.H.J. Thomma1 1Laboratory of Phytopathology, Wageningen University, Wageningen, The Netherlands; 2Department of Medical Microbiology and Infectious Diseases, Erasmus MC, University Medical Centre Rotterdam, Rotterdam, The Netherlands; and 3CBS Fungal Biodiversity Centre, Utrecht, The Netherlands Correspondence: Bart P.H.J. Thomma, Abstract Downloaded from https://academic.oup.com/femsre/article/31/3/239/2367343 by guest on 27 September 2021 Laboratory of Phytopathology, Wageningen University, Binnenhaven 5, 6709 PD It is common knowledge that pathogenic viruses can change hosts, with avian Wageningen, The Netherlands. Tel.: 10031 influenza, the HIV, and the causal agent of variant Creutzfeldt–Jacob encephalitis 317 484536; fax: 10031 317 483412; as well-known examples. Less well known, however, is that host jumps also occur e-mail: [email protected] with more complex pathogenic microorganisms such as bacteria and fungi. In extreme cases, these host jumps even cross kingdom of life barriers. A number of Received 3 July 2006; revised 22 December requirements need to be met to enable a microorganism to cross such kingdom 2006; accepted 23 December 2006. barriers. Potential cross-kingdom pathogenic microorganisms must be able to First published online 26 February 2007. come into close and frequent contact with potential hosts, and must be able to overcome or evade host defences. Reproduction on, in, or near the new host will DOI:10.1111/j.1574-6976.2007.00065.x ensure the transmission or release of successful genotypes. -
E. Coli: Serotypes Other Than O157:H7 Prepared by Zuber Mulla, BA, MSPH DOH, Regional Epidemiologist
E. coli: Serotypes other than O157:H7 Prepared by Zuber Mulla, BA, MSPH DOH, Regional Epidemiologist Escherichia coli (E. coli) is the predominant nonpathogenic facultative flora of the human intestine [1]. However, several strains of E. coli have developed the ability to cause disease in humans. Strains of E. coli that cause gastroenteritis in humans can be grouped into six categories: enteroaggregative (EAEC), enterohemorrhagic (EHEC), enteroinvasive (EIEC), enteropathogenic (EPEC), enterotoxigenic (ETEC), and diffuse adherent (DAEC). Pathogenic E. coli are serotyped on the basis of their O (somatic), H (flagellar), and K (capsular) surface antigen profiles [1]. Each of the six categories listed above has a different pathogenesis and comprises a different set of O:H serotypes [2]. In Florida, gastrointestinal illness caused by E. coli is reportable in two categories: E. coli O157:H7 or E. coli, other. In 1997, 52 cases of E. coli O157:H7 and seven cases of E. coli, other (known serotype), were reported to the Florida Department of Health [3]. Enteroaggregative E. coli (EAEC) - EAEC has been associated with persistent diarrhea (>14 days), especially in developing countries [1]. The diarrhea is usually watery, secretory and not accompanied by fever or vomiting [1]. The incubation period has been estimated to be 20 to 48 hours [2]. Enterohemorrhagic E. coli (EHEC) - While the main EHEC serotype is E. coli O157:H7 (see July 24, 1998, issue of the “Epi Update”), other serotypes such as O111:H8 and O104:H21 are diarrheogenic in humans [2]. EHEC excrete potent toxins called verotoxins or Shiga toxins (so called because of their close resemblance to the Shiga toxin of Shigella dysenteriae 1This group of organisms is often referred to as Shiga toxin-producing E. -
Differences in Innate Immune Response Between Man and Mouse
Institute of Medical Physics and Biophysics Medical Department, Leipzig University Author Manuscript © 2014. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/ Published in final edited form as: Critical Reviews™ in Immunology, 2014; 34:433-54. Available at: http://dx.doi.org/ 10.1615/CritRevImmunol.2014011600. DIFFERENCES IN INNATE IMMUNE RESPONSE BETWEEN MAN AND MOUSE Josefin Zschaler 1,2,*, Denise Schlorke 1,2,* & Juergen Arnhold 1,2 1 Institute for Medical Physics and Biophysics, Medical Faculty, Leipzig University, Leipzig, Germany 2 Translational Centre for Regenerative Medicine (TRM), Leipzig University, Leipzig, Germany * Both authors contributed equally to this work. Abstract Mouse strains are frequently used to model human disease states, to test the efficiency of drugs and therapeutic principles. However, the direct translation of murine experimental data to human pathological events often fails due to sufficient differences in the organization of the immune system of both species. Here we give a short overview of the principle differences between mice and humans in defense strategies against pathogens and mechanisms involved in response to pathogenic microorganisms and other activators of the immune system. While in human blood mechanisms of immune resistance are highly prevailed, tolerance mechanisms dominate for the defense against pathogenic microorganisms in mouse blood. Further on, species-related differences of immune cells mainly involved in innate immune response as well as differences to maintain oxidative homeostasis are also considered. A number of disease scenarios in mice are critically reflected for their suitability to serve as a model for human pathologies. -
The Public Health Impact of Prion Diseases1
10 Feb 2005 13:10 AR AR238-PU26-08.tex AR238-PU26-08.sgm LaTeX2e(2002/01/18) P1: IBD 10.1146/annurev.publhealth.26.021304.144536 Annu. Rev. Public Health 2005. 26:191–212 doi: 10.1146/annurev.publhealth.26.021304.144536 Copyright ©c 2005 by Annual Reviews. All rights reserved First published online as a Review in Advance on December 8, 2004 THE PUBLIC HEALTH IMPACT OF PRION DISEASES1 Ermias D. Belay and Lawrence B. Schonberger Division of Viral and Rickettsial Diseases, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia 30333; email: [email protected] KeyWords transmissible spongiform encephalopathy, Creutzfeldt-Jakob disease, variant Creutzfeldt-Jakob disease, bovine spongiform encephalopathy, chronic wasting disease ■ Abstract Several prion disease–related human health risks from an exogenous source can be identified in the United States, including the iatrogenic transmission of Creutzfeldt-Jakob disease (CJD), the possible occurrence of variant CJD (vCJD), and potential zoonotic transmission of chronic wasting disease (CWD). Although cross- species transmission of prion diseases seems to be limited by an apparent “species barrier,” the occurrence of bovine spongiform encephalopathy (BSE) and its transmis- sion to humans indicate that animal prion diseases can pose a significant public health risk. Recent reports of secondary person-to-person spread of vCJD via blood products and detection of vCJD transmission in a patient heterozygous at codon 129 further illustrate the potential public health impacts of BSE. INTRODUCTION by IRMO/Information Center on 03/14/05. For personal use only. Prion diseases, also known as transmissible spongiform encephalopathies (TSEs), are a group of animal and human brain diseases that are uniformly fatal and often characterized by a long incubation period and a multifocal neuropathologic picture of neuronal loss, spongiform changes, and astrogliosis (3). -
Innate Immunity Part I: the Immediate Response Deborah A
Innate Immunity Part I: The Immediate Response Deborah A. Lebman, Ph.D. OBJECTIVES 1. Describe three mechanisms present at epithelial surfaces that protect the host from pathogens. 2. List 3 functions of complement proteins in innate immunity 3. Know the primary functions of macrophages and neutrophils 4. List the receptors on macrophages involved in recognition of pathogens 5. List the key toxic products of phagocytes READING • Parham, The Immune System, pg 227-238. TERMS • Defensin: antibacterial peptide produced by the host at epithelial surfaces • Complement: ubiquitously present proteins synthesized primarily in the liver that mediate a variety of responses to pathogens • Opsonin (opsonization): alteration of cell surface that facilitates phagocytosis • Phagocytosis: internalization of particulate matter by cells • CD14: LPS receptor • TLR-4: toll like receptor 4 I. Introduction A. The first response to pathogens occurs immediately B. The early response employs both mechanical and cell mediated mechanisms C. There is no cellular expansion, but there is cell recruitment D. A wide array of soluble mediators with both positive and negative effects, i.e. remove the pathogen but hurt the host, is released II. Overview of Pathogens A. There are four types of pathogen: bacteria, virus, fungus, parasite B. Table I: Examples of the Four Types of Common Human Pathogen Table 1: Examples of the Four Types of Common Human Pathogen Table 1 (Continued): Examples of the Four Types of Common Human Pathogen C. Pathogens can be intracellular or extracellular Table 2: Examples of intracellular and extracellular pathogens. Notice that both innate and adaptive mechanisms are involved in the response to both types of pathogen. -
Supporting Information
Supporting Information Rosenberg et al. 10.1073/pnas.1307243110 SI Results and Discussion domestic ungulates (horses, cows, sheep, goats, camels, and pigs) Of the 83 arboviruses, nonhuman vertebrate hosts have been and rodents in both groups might be a consequence of spatial identified for 70 (84%); the remaining 13 are presumed to be proximity to humans. Sentinel monkeys were often used in pro- zoonoses because there is no indication they can be transmitted cedures to isolate arboviruses, which might account for their directly between humans by vectors (Table S1). Animal hosts have higher representation among arboviruses. In contrast, there are been identified for at least 57 (44%) of the 130 nonarboviruses; an few published records of bats being routinely sampled during additional 5 (8%) are presumed on epidemiological evidence to arbovirus studies, and only two arboviruses (3%) have been iso- have nonhuman reservoirs (Table S1). A number of viruses infect lated from bats. The reason a much larger number of arbovirus more than one nonhuman vertebrate host species and it is likely species (n = 16) have been isolated from birds than have that the variety of hosts is wider than has been recorded. The nonarbovirus species (n = 1) might, however, be characteristic of predominant host groups for arboviruses (n = 70) are nonhuman the pathogenicity of the togaviruses and flaviviruses, which are primates (31%), rodents (29%), ungulates (26%), and birds (23%); much more common among the arboviruses. The most prominent for the nonarboviruses (n = 57), they are rodents (30%), ungu- vectors of arboviruses were mosquitoes (67%), ticks (19%), and lates (26%), bats (23%), and primates (16%). -
Escherichia Coli O157:H7 And
SCHOOL HEALTH/ CHILDCARE PROVIDER E. COLI O157:H7 INFECTION AND HEMOLYTIC UREMIC SYNDROME (HUS) Reportable to local or state health department Consult the health department before posting or distributing the Parent/Guardian fact sheet. CAUSE E. coli O157:H7 bacteria. SYMPTOMS Watery or severe bloody diarrhea, stomach cramps, and low-grade fever. Symptoms usually last 5 to 10 days. Some infected persons may have mild symptoms or may have no symptoms. In some instances, infection with E. coli O157:H7 may result in widespread breakdown of red blood cells leading to Hemolytic Uremia Syndrome (HUS). HUS affects the kidneys and the ability of blood to clot; it is more common in children under 5 years old and the elderly. SPREAD E. coli bacteria leave the body through the stool of an infected person and enter another person when hands, food, or objects (such as toys) contaminated with stool are placed in the mouth. Spread can occur when people do not wash their hands after using the toilet or changing diapers. Cattle are also a source of these bacteria and people can be infected with E. coli O157:H7 through eating contaminated beef, eating fresh produce contaminated by cattle feces, or through contact with cattle or the farm environment. INCUBATION It takes from 1 to 8 days, usually about 3 to 4 days, from the time a person is exposed until symptoms develop. CONTAGIOUS As long as E. coli O157:H7 bacteria are present in the stool (even in the absence PERIOD of symptoms), a person can pass the bacteria to other people. -
Molecular Determinants of Enterotoxigenic Escherichia Coli Heat-Stable Toxin Secretion and 3 Delivery 4 5 Yuehui Zhu1a, Qingwei Luo1a, Sierra M
bioRxiv preprint doi: https://doi.org/10.1101/299313; this version posted April 11, 2018. The copyright holder for this preprint (which was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in perpetuity. It is made available under aCC-BY-NC-ND 4.0 International license. 1 Title 2 Molecular determinants of enterotoxigenic Escherichia coli heat-stable toxin secretion and 3 delivery 4 5 Yuehui Zhu1a, Qingwei Luo1a, Sierra M. Davis1, Chase Westra1b, Tim J. Vickers1, and James M. 6 Fleckenstein1, 2. 7 8 9 1Division of Infectious Diseases, Department of Medicine, Washington University School of 10 Medicine, Saint Louis, Missouri, 2Medicine Service, Department of Veterans Affairs Medical 11 Center, Saint Louis, Missouri. 12 13 athese authors contributed equally to the development of this manuscript 14 15 bpresent author address: 16 University of Illinois College of Medicine 17 Chicago, Illinois 18 19 Correspondence: 20 21 James M. Fleckenstein 22 Division of Infectious Diseases 23 Department of Medicine 24 Washington University School of Medicine 25 Campus box 8051 26 660 South Euclid Avenue 27 Saint Louis, Missouri 63110. 28 29 p 314-362-9218 30 [email protected] 31 bioRxiv preprint doi: https://doi.org/10.1101/299313; this version posted April 11, 2018. The copyright holder for this preprint (which was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in perpetuity. It is made available under aCC-BY-NC-ND 4.0 International license. 32 Abstract 33 Enterotoxigenic Escherichia coli (ETEC), a heterogeneous diarrheal pathovar defined by 34 production of heat-labile (LT) and/or heat-stable (ST) toxins, remain major causes of mortality 35 among children in developing regions, and cause substantial morbidity in individuals living in or 36 traveling to endemic areas. -
Spillback in the Anthropocene: the Risk of Human-To-Wildlife Pathogen Transmission for Conservation and Public Health
Spillback in the Anthropocene: the risk of human-to-wildlife pathogen transmission for conservation and public health Anna C. Fagre*1, Lily E. Cohen2, Evan A. Eskew3, Max Farrell4, Emma Glennon5, Maxwell B. Joseph6, Hannah K. Frank7, Sadie Ryan8, 9,10, Colin J Carlson11,12, Gregory F Albery*13 *Corresponding authors: [email protected]; [email protected] 1: Department of Microbiology, Immunology, and Pathology, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins, CO 2: Icahn School of Medicine at Mount Sinai, New York, NY 10029 3: Department of Biology, Pacific Lutheran University, Tacoma, WA, 98447 USA 4: Department of Ecology & Evolutionary Biology, University of Toronto 5: Disease Dynamics Unit, Department of Veterinary Medicine, University of Cambridge, Cambridge CB3 0ES, UK 6: Earth Lab, University of Colorado Boulder, Boulder, CO 80309 7: Department of Ecology and Evolutionary Biology, Tulane University, New Orleans, LA, 70118 USA 8: Quantitative Disease Ecology and Conservation (QDEC) Lab Group, Department of Geography, University of Florida, Gainesville, FL, 32610 USA 9: Emerging Pathogens Institute, University of Florida, Gainesville, FL, 32610 USA 10: School of Life Sciences, University of KwaZulu-Natal, Durban, 4041, South Africa 11: Center for Global Health Science and Security, Georgetown University Medical Center, Washington, DC, 20057 USA 12: Department of Microbiology and Immunology, Georgetown University Medical Center, Washington, DC, 20057 USA 13: Department of Biology, Georgetown University, Washington, DC, 20057 USA 1 Abstract The SARS-CoV-2 pandemic has led to increased concern over transmission of pathogens from humans to animals (“spillback”) and its potential to threaten conservation and public health. -
Enterotoxigenic E. Coli (Etec)
ENTEROTOXIGENIC E. COLI (ETEC) Escherichia coli (E. coli) are bacteria that are found in the environment, food, and the intestines of animals and people. Most types of E. coli are harmless and are an important part of the digestive tract, but some can make you sick. Enterotoxigenic E. coli (ETEC) is a type of E. coli bacteria that can cause diarrhea. Anyone can become infected with ETEC. It is a common cause of diarrhea in developing countries especially among children and travelers to those countries. However, even people who do not leave the United States can get sick with ETEC infection. What causes it? ETEC is spread in food or water that is contaminated with feces (poop). If people do not wash their hands when preparing food or beverages, or if crops are watered using contaminated water, food can become contaminated with feces. What are the signs and symptoms? Symptoms can be seen as soon as 10 hours after being infected with ETEC, or may take up to 72 hours to appear. Symptoms usually last less than five days, but may last longer. Sometimes people can have ETEC and not have any symptoms. ETEC is not easy to test for in feces. Watery diarrhea (without blood or mucus) Dehydration Stomach cramps Weakness Vomiting Fever (may or may not be present) What are the treatment options? People who are sick with ETEC may need to be given fluids so they do not become dehydrated. Most people recover with supportive care alone and do not need other treatment. If an antibiotic is needed, testing should be done to see what kind of antibiotic will work against the particular strain of ETEC. -
Carbapenem-Resistant Enterobacteriaceae a Microbiological Overview of (CRE) Carbapenem-Resistant Enterobacteriaceae
PREVENTION IN ACTION MY bugaboo Carbapenem-resistant Enterobacteriaceae A microbiological overview of (CRE) carbapenem-resistant Enterobacteriaceae. by Irena KennelEy, PhD, aPRN-BC, CIC This agar culture plate grew colonies of Enterobacter cloacae that were both characteristically rough and smooth in appearance. PHOTO COURTESY of CDC. GREETINGS, FELLOW INFECTION PREVENTIONISTS! THE SCIENCE OF infectious diseases involves hundreds of bac- (the “bug parade”). Too much information makes it difficult to teria, viruses, fungi, and protozoa. The amount of information tease out what is important and directly applicable to practice. available about microbial organisms poses a special problem This quarter’s My Bugaboo column will feature details on the CRE to infection preventionists. Obviously, the impact of microbial family of bacteria. The intention is to convey succinct information disease cannot be overstated. Traditionally the teaching of to busy infection preventionists for common etiologic agents of microbiology has been based mostly on memorization of facts healthcare-associated infections. 30 | SUMMER 2013 | Prevention MULTIDRUG-resistant GRAM-NEGative ROD ALert: After initial outbreaks in the northeastern U.S., CRE bacteria have THE CDC SAYS WE MUST ACT NOW! emerged in multiple species of Gram-negative rods worldwide. They Carbapenem-resistant Enterobacteriaceae (CRE) infections come have created significant clinical challenges for clinicians because they from bacteria normally found in a healthy person’s digestive tract. are not consistently identified by routine screening methods and are CRE bacteria have been associated with the use of medical devices highly drug-resistant, resulting in delays in effective treatment and a such as: intravenous catheters, ventilators, urinary catheters, and high rate of clinical failures.