Enterohemorrhagic Escherichia coli (EHEC) Infections

Escherichia coli (E. coli) is a bacterium that is commonly found in the gut of humans and warm-blooded animals.

Most E. coli are normal commensals found in the intestinal tract. Pathogenic strains of E. coli are distinguished from normal flora by their possession of virulence factors such as exotoxins. Enterohemorrhagic E. coli are Verotoxigenic E. coli (an isolate which produce one or both verocytoxins vt1 and vt2) or shiga like toxins.

1.      Carriers/Reservoirs of infections:  The reservoirs for EHEC O157:H7 are ruminants, particularly cattle and sheep, which are infected asymptomatically and shed the organism in feces. Other animals such as rabbits and pigs can also carry this organism.

2.      Mode of transmission:  Humans acquire EHEC O157:H7 by direct contact with animal carriers, their feces, and contaminated soil or water, or via the ingestion contaminated vegetables and fruit. It is transmitted to humans primarily through consumption of contaminated foods, such as raw or undercooked meat products, raw milk and contaminated raw vegetables.

3.      Infectious dose: infectious dose is very low, which increases the risk of disease.

4.      Disease associations:
Enterohemorrhagic Escherichia coli (EHEC) can cause severe foodborne disease; diarrhea or hemorrhagic colitis in humans. Hemorrhagic colitis occasionally progresses to hemolytic uremic syndrome (HUS), an important cause of acute renal failure in children and morbidity and mortality in adults.