Emerging Infectious Diseases (Jun 1998)

Enteroaggregative Escherichia coli

  • James P. Nataro,
  • Theodore Steiner,
  • Richard L. Guerrant

DOI
https://doi.org/10.3201/eid0402.980212
Journal volume & issue
Vol. 4, no. 2
pp. 251 – 261

Abstract

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Enteroaggregative Escherichia coli (EAEC), an increasingly recognized cause of diarrhea in children in developing countries, has been particularly associated with persistent diarrhea (more than 14 days), a major cause of illness and death. Recent outbreaks implicate EAEC as a cause of foodborne illness in industrialized countries. The pathogenesis of EAEC infection is not well understood, but a model can be proposed in which EAEC adhere to the intestinal mucosa and elaborate enterotoxins and cytotoxins, which result in secretory diarrhea and mucosal damage. EAEC's ability to stimulate the release of inflammatory mediators may also play a role in intestinal illness.

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