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Escherichia coli 0157:H7 and the Hemolytic Uremic Syndrome: Importance of Early Cultures in Establishing the Etiology
Abstract
Fifty-two patients were studied prospectively to determine the etiology of postdiarrheal hemolytic uremic syndrome (HUS). Escherichia coli O157:H7 was isolated from 33 patients (63.4%). If stool obtained within 2 days of the onset of diarrhea was cultured for E. coli O157:H7, the recovery rate was 100%. This rate decreased to 91.7% and 33.3% if stool was cultured for this pathogen 3-6 or greater than or equal to 7 days, respectively, after diarrhea began. The culture-positive group was more likely to have had bloody diarrhea and fecal leukocytes and to have received transfusions than the culture-negative group but was otherwise similar in clinical characteristics. E. coli O157:H7 is the predominant pathogen associated with HUS in western Washington. Recovery of this pathogen is highly dependent on obtaining stool cultures within 6 days of onset of diarrhea.
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Cited by
Besser, R. E. (1993) · JAMA: The Journal of the American Medical Association · doi:10.1001/jama.1993.03500170047032 · Cited by 851
Armstrong, G. L., Hollingsworth, J., & Morris, J. G. (1996) · Epidemiologic Reviews · doi:10.1093/oxfordjournals.epirev.a017914 · Cited by 678
Freedman, S. B., Xie, J., Neufeld, M. S., Hamilton, W. L., Hartling, L., & Tarr, P. I. (2016) · Clinical Infectious Diseases · doi:10.1093/cid/ciw099 · Cited by 267
Self-citationMody, R. K., Luna-Gierke, R. E., Jones, T. F., Comstock, N., Hurd, S., Scheftel, J., Lathrop, S., Smith, G., Palmer, A., Strockbine, N., et al. (2012) · Archives of Pediatrics & Adolescent Medicine · doi:10.1001/archpediatrics.2012.471 · Cited by 42
Metadata
- Authors
- Tarr, P. I., Neill, M. A., Clausen, C. R., Watkins, S. L., Christie, D. L., & Hickman, R. O.
- Venue
- Journal of Infectious Diseases
- Publisher
- Oxford University Press (OUP)
- Published
- 1990-08-01
- Volume
- 162
- Issue
- 2
- Pages
- 553-556
- ISSN
- 0022-1899 (ISSN-L)
- 1537-6613
- OpenAlex
- W1993727430
- Cited by
- 242
- References
- 0
- FWCI
- 7.25
- Type
- journal article
- Language
- en
- Open access
- closed
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- CoChat. (2026). Citation check: Escherichia coli 0157:H7 and the Hemolytic Uremic Syndrome: Importance of Early Cultures in Establishing the Etiology. https://app.cochat.ai/papers/10.1093/infdis/162.2.553
- The paper
- Tarr, P. I., Neill, M. A., Clausen, C. R., Watkins, S. L., Christie, D. L., & Hickman, R. O. (1990). Escherichia coli 0157:H7 and the Hemolytic Uremic Syndrome: Importance of Early Cultures in Establishing the Etiology. Journal of Infectious Diseases. https://doi.org/10.1093/infdis/162.2.553
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
