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E. coli 0157:H7

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Anyone familiar with this?

Leo

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HARMLESS BACTERIA MAY CONTRIBUTE TO PRODUCTION OF DEADLY TOXIN

The virulent E. coli O157:H7 bacteria could be enlisting the help of

formerly harmless intestinal bacteria to cause some lethal side

effects

say researchers from the University of Cincinnati and Cincinnati

Children's Hospital Medical Center. Their findings appear in the June

2003 issue of the journal Infection and Immunity.

E. coli O157:H7 bacteria are a common cause of gastrointestinal

disease

which in some cases can lead to hemolytic uremic syndrome (HUS), which

results in acute kidney failure in children. Antibiotic treatment of

the

infection can trigger progression to HUS in some cases but not in

others.

The reason for this is not known, but the production of shiga toxin by

the

bacteria is believed to be involved.

In the study, the researchers found that E. coli O157:H7 bacteria,

when

killed by antibiotics, not only released shiga toxin, but also a

bacteriophage, a virus that infects other bacteria, that contained the

genetic code for production of the toxin. The phage would then infect

the

harmless E. coli bacteria that normally inhabit the intestines,

causing

them to produce more shiga toxin and more phage, which would infect

more

bacteria and continue the cycle.

(S. D. Gamage, J. E. Strasser, C. L. Chalk, A. A. Weiss. 2003.

Nonpathogenic Escherichia coli can contribute to the production of

Shiga

toxin. Infection and Immunity, 71. 6: 3107-3115.)

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