Neonatal hemolytic uremic syndrome after mother-to-child transmission of a low-pathogenic stx2b harboring shiga toxin-producing Escherichia coli.

Stritt, Andrea; Tschumi, Sibylle; Kottanattu, Lisa; Bucher, Barbara S; Steinmann, Markus; von Steiger, Niklaus; Stephan, Roger; Hächler, Herbert et al. · Clin Infect Dis · 2013

case_report · Level V

Where this comes from

Abstract

This case describes evidence for a Shiga toxin-producing Escherichia coli (STEC) O146:H28 infection leading to hemolytic uremic syndrome in a neonate. STEC O146:H28 was linked hitherto with asymptomatic carriage in humans. Based on strain characteristics and genotyping data, the mother is a healthy carrier who transmitted the STEC during delivery. STEC strains belonging to the low-pathogenic STEC group must also be considered in the workup of neonatal hemolytic uremic syndrome.

Medical subject headings