Determination of Enterohemorrhagic Escherichia coli Serotype O165:HNM Infection in a Hemolytic Uremic Syndrome Patient with Adenovirus Seroype 41

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  • Konno Takayuki
    Health and Hygiene Division, Akita Prefectural Research Center for Public Health and Environment
  • Yatsuyanagi Jun
    Health and Hygiene Division, Akita Prefectural Research Center for Public Health and Environment
  • Takahashi Shiho
    Health and Hygiene Division, Akita Prefectural Research Center for Public Health and Environment
  • Kumagai Yuko
    Health and Hygiene Division, Akita Prefectural Research Center for Public Health and Environment
  • Wada Eriko
    Health and Hygiene Division, Akita Prefectural Research Center for Public Health and Environment
  • Chiba Machiko
    Health and Hygiene Division, Akita Prefectural Research Center for Public Health and Environment
  • Saito Shioko
    Health and Hygiene Division, Akita Prefectural Research Center for Public Health and Environment

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  • Determination of Enterohemorrhagic <i>Escherichia coli</i> Serotype O165:HNM Infection in a Hemolytic Uremic Syndrome Patient with Adenovirus Seroype 41

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A 4-year-old girl who was positive for adenovirus according to a rapid immunochromatographic test conducted at a hospital, progressed to hemorrhagic diarrhea and hemolytic uremic syndrome (HUS). The presence of adenovirus serotype 41 (AdV-41) was confirmed by TaqMan real-time PCR and sequence analysis. However, most enteric viral infections cause mild to moderate diarrhea. In the present case, enterohemorrhagic Escherichia coli (EHEC) O165:HNM was isolated concomitantly with AdV-41. In addition, O165 antibody was specifically detected in patient sera. The EHEC isolate was positive for the virulence genes stx1, stx2a, eae type ε, ehxA, and norV. Therefore, we concluded that EHEC O165:HNM was the precise pathogen leading to HUS in this patient.

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