Escherichia coli enteritis classification: Difference between revisions
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==Overview== | ==Overview== | ||
''E. coli'' enteritis may be classified according to the ''E. coli'' species into Enterotoxigenic ''E. coli'' (ETEC), Enteropathogenic ''E. coli'' (EPEC), Enterohemorrhagic ''E. coli'' (EHEC), Enteroinvasive ''E. coli'' (EIEC), and Enteroaggressive ''E. coli'' (EAEC). | [[Escherichia coli enteritis|''E. coli'' enteritis]] may be classified according to the ''[[Escherichia coli|E. coli]]'' [[species]] into [[Enterotoxigenic E. coli|Enterotoxigenic ''E. coli'' (ETEC)]], [[Enteropathogenic E. coli|Enteropathogenic ''E. coli'' (EPEC)]], [[Enterohemorrhagic escherichica coli|Enterohemorrhagic ''E. coli'' (EHEC)]], [[Enteroinvasive E. coli|Enteroinvasive ''E. coli'' (EIEC)]], and [[Enteroaggressive E. coli|Enteroaggressive ''E. coli'' (EAEC)]]. | ||
==Classification== | ==Classification== | ||
''E. coli'' enteritis may be classified according to the involved ''E. coli'' species | [[Escherichia coli enteritis|''E. coli'' enteritis]] may be classified according to the involved ''[[Escherichia coli|E. coli]]'' [[species]] listed as follows[[Enterotoxigenic Escherichia coli|:]] | ||
*Enterotoxigenic ''E. coli'' | *[[Enterotoxigenic Escherichia coli|Enterotoxigenic ''E. coli'' (ETEC)]] | ||
*Enteropathogenic ''E. coli'' | *[[Enteropathogenic E. coli|Enteropathogenic ''E. coli'' (EPEC)]] (including diffusely adherent ''[[Escherichia coli|E. coli]]'' [DAEC], a subtype of [[Enteropathogenic E. coli|EPEC]]) | ||
*Enterohemorrhagic ''E. coli'' | *[[Enterohemorrhagic escherichica coli|Enterohemorrhagic ''E. coli'' (EHEC)]] (may be [[Shiga-like toxin]] producing or [[Verotoxin-producing Escherichia coli|Verotoxin]]-producing) | ||
*Enteroinvasive ''E. coli'' | *[[Enteroinvasive E. coli|Enteroinvasive ''E. coli'' (EIEC)]] | ||
*Enteroaggressive ''E. coli'' | *[[Enteroaggressive E. coli|Enteroaggressive ''E. coli'' (EAEC)]] | ||
The following table demonstrates the distinguishing clinical features and pathophysiological mechanisms of various enteritis-causing ''E. coli'' strains: | The following table demonstrates the distinguishing clinical features and [[Pathophysiology|pathophysiological]] [[Mechanism (biology)|mechanisms]] of various enteritis-causing ''[[Escherichia coli|E. coli]]'' [[Strain (biology)|strains]]: | ||
{| {{table}} | {| {{table}} cellpadding="4" cellspacing="0" style="border:#c9c9c9 1px solid; margin: 1em 1em 1em 0; border-collapse: collapse;" | ||
| align="center" style="background:# | | align="center" style="background:#4479BA; color: #FFFFFF;" + |'''Properties/Symptoms''' | ||
| align="center" style="background:# | | align="center" style="background:#4479BA; color: #FFFFFF;" + |'''ETEC''' | ||
| align="center" style="background:# | | align="center" style="background:#4479BA; color: #FFFFFF;" + |'''EPEC''' | ||
| align="center" style="background:# | | align="center" style="background:#4479BA; color: #FFFFFF;" + |'''EHEC<br><sup>(STEC or VTEC)</sup>''' | ||
| align="center" style="background:# | | align="center" style="background:#4479BA; color: #FFFFFF;" + |'''EIEC''' | ||
|- | |- | ||
| Toxin||LT/ST<sup>a</sup>||-||Shiga or Vero toxin||- | | [[Toxin]]||LT/ST<sup>a</sup>||-||[[Shiga-like toxin|Shiga]] or [[Verotoxin|Vero]] [[toxin]]||- | ||
|- | |- | ||
| Invasive||-||-||-||+ | | Invasive||-||-||-||+ | ||
| Line 29: | Line 29: | ||
| Enterohemolysin||-||-||+||- | | Enterohemolysin||-||-||+||- | ||
|- | |- | ||
| Stool||Watery||Watery, Bloody||Watery, very bloody||Mucoid, bloody | | [[Human feces|Stool]]||[[Diarrhea|Watery]]||[[Diarrhea|Watery]], [[Dysentery|Bloody]]||[[Diarrhea|Watery]], [[Dysentery|very bloody]]||[[Mucus|Mucoid]], [[Dysentery|bloody]] | ||
|- | |- | ||
| Fever||Low||+||-||+ | | [[Fever]]||Low||+||-||+ | ||
|- | |- | ||
| Fecal leukocytes||-||-||-||+ | | [[Feces|Fecal]] [[White blood cells|leukocytes]]||-||-||-||+ | ||
|- | |- | ||
| Intestine involved||Small||Small||Colon||Colon, lower small | | [[Intestine]] involved||[[Small intestine|Small]]||[[Small intestine|Small]]||[[Colon (anatomy)|Colon]]||[[Colon (anatomy)|Colon]], [[Small intestine|lower small]] | ||
|- | |- | ||
| Serology||Various||O26, O111 & others||O157:H7, O26, O111 & others||Various | | [[Serology]]||Various||O26, O111 & others||O157:H7, O26, O111 & others||Various | ||
|- | |- | ||
| ID<sup>b</sup>||High||High||Low||High | | ID<sup>b</sup>||High||High||Low||High | ||
|} | |} | ||
<sup>a=LT, labile toxin; ST, stable toxin; b=ID, infective dose.<br> | <sup>a=LT, labile toxin; ST, stable toxin; b=ID, infective dose.<br> | ||
Adapted from Food and Drug Administration (FDA) - Bacteriological Analytical Manual Chapter 4A - Diarrheagenic ''Escherichia coli''.<ref name=FDA>{{cite web |url=http://www.fda.gov/Food/FoodScienceResearch/LaboratoryMethods/ucm070080.htm |title=Bacteriological Analytical Manual Chapter 4A - Diarrheagenic Escherichia coli |last1=Feng |first1=Peter |last2= Weagant|first2=Stephen D. | last3=Jinneman|first3=Karen|date=February 2011 |website=www.fda.gov |publisher=Food and Drug Administration |access-date=December 19 2015}}</ref> | Adapted from Food and Drug Administration (FDA) - Bacteriological Analytical Manual Chapter 4A - Diarrheagenic ''Escherichia coli''.<ref name="FDA">{{cite web |url=http://www.fda.gov/Food/FoodScienceResearch/LaboratoryMethods/ucm070080.htm |title=Bacteriological Analytical Manual Chapter 4A - Diarrheagenic Escherichia coli |last1=Feng |first1=Peter |last2= Weagant|first2=Stephen D. | last3=Jinneman|first3=Karen|date=February 2011 |website=www.fda.gov |publisher=Food and Drug Administration |access-date=December 19 2015}}</ref> | ||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
[[Category:Disease]] | [[Category:Disease]] | ||
Latest revision as of 01:04, 17 December 2018
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Escherichia coli enteritis Microchapters |
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Differentiating Escherichia coli enteritis from other Diseases |
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Diagnosis |
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Treatment |
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Escherichia coli enteritis classification On the Web |
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American Roentgen Ray Society Images of Escherichia coli enteritis classification |
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Risk calculators and risk factors for Escherichia coli enteritis classification |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Serge Korjian M.D., Yazan Daaboul, M.D.
Overview
E. coli enteritis may be classified according to the E. coli species into Enterotoxigenic E. coli (ETEC), Enteropathogenic E. coli (EPEC), Enterohemorrhagic E. coli (EHEC), Enteroinvasive E. coli (EIEC), and Enteroaggressive E. coli (EAEC).
Classification
E. coli enteritis may be classified according to the involved E. coli species listed as follows:
- Enterotoxigenic E. coli (ETEC)
- Enteropathogenic E. coli (EPEC) (including diffusely adherent E. coli [DAEC], a subtype of EPEC)
- Enterohemorrhagic E. coli (EHEC) (may be Shiga-like toxin producing or Verotoxin-producing)
- Enteroinvasive E. coli (EIEC)
- Enteroaggressive E. coli (EAEC)
The following table demonstrates the distinguishing clinical features and pathophysiological mechanisms of various enteritis-causing E. coli strains:
| Properties/Symptoms | ETEC | EPEC | EHEC (STEC or VTEC) |
EIEC |
| Toxin | LT/STa | - | Shiga or Vero toxin | - |
| Invasive | - | - | - | + |
| Intimin | - | + | + | - |
| Enterohemolysin | - | - | + | - |
| Stool | Watery | Watery, Bloody | Watery, very bloody | Mucoid, bloody |
| Fever | Low | + | - | + |
| Fecal leukocytes | - | - | - | + |
| Intestine involved | Small | Small | Colon | Colon, lower small |
| Serology | Various | O26, O111 & others | O157:H7, O26, O111 & others | Various |
| IDb | High | High | Low | High |
a=LT, labile toxin; ST, stable toxin; b=ID, infective dose.
Adapted from Food and Drug Administration (FDA) - Bacteriological Analytical Manual Chapter 4A - Diarrheagenic Escherichia coli.[1]
References
- ↑ Feng, Peter; Weagant, Stephen D.; Jinneman, Karen (February 2011). "Bacteriological Analytical Manual Chapter 4A - Diarrheagenic Escherichia coli". www.fda.gov. Food and Drug Administration. Retrieved December 19 2015. Check date values in:
|access-date=(help)