Escherichia coli Bacteremia, Meningitis, and Hemochromatosis
Abstract
A 67-year-old man with Escherichia coli bacteremia and meningitis was found to have hemochromatosis. To my knowledge this is the first documented case of E coli meningitis occurring in the setting of hemochromatosis. The case raises issues regarding the role of chronic liver disease in the pathogenesis of gram-negative sepsis and the impact of iron loading on host immunocompetence and bacterial virulence.
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Hereditary hemochromatosis patients are more susceptible to infections with Escherichia coli.
“Hereditary hemochromatosis patients, who are iron-overloaded as a result of hepcidin deficiency, are more susceptible to infections with Escherichia coli,3 Vibrio vulnificus,4 Listeria monocytogenes,5 and Yersinia enterocolitica.6,7”
From Endogenous hepcidin and its agonist mediate resistance to selected infections by clearing non-transferrin-bound iron (2017) · cites this paper as [3]
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(2014) · ASM Press eBooks · doi:10.1128/9781555817541.ch4
- Authors
- Christopher, G. W.
- Corresponding author
- Christopher, George W.
- Venue
- Archives of Internal Medicine
- Publisher
- American Medical Association (AMA)
- Published
- 1985-10-01
- Volume
- 145
- Issue
- 10
- Pages
- 1908
- ISSN
- 0003-9926 (ISSN-L)
- OpenAlex
- W2024584476
- Cited by
- 26
- References
- 7
- Citations by year
- 2023: 2 · 2020: 2 · 2019: 2 · 2018: 2 · 2017: 4 · 2016: 2 · 2014: 1 · 2013: 4
- FWCI
- 0.24
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Archives of Internal Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Hematology › Iron Metabolism and Disorders
- Health Sciences › Medicine › Epidemiology › Sepsis Diagnosis and Treatment
- Life Sciences › Immunology and Microbiology › Microbiology › Bacterial Infections and Vaccines
- Keywords
- Escherichia coli, bacteremia, meningitis, hemochromatosis, gram-negative sepsis, chronic liver disease, iron overload, host immunocompetence, bacterial virulence
- MeSH terms
- Aged, Escherichia coli, Escherichia coli Infections, Hemochromatosis, Humans, Male, Meningitis, Virulence, Sepsis
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