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Recurrent Hemolytic and Uremic Syndrome Induced by Escherichia Coli.

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Commereuc, Morgane | Weill, Francois-Xavier | Loukiadis, Estelle | Gouali, Malika | Gleizal, Audrey | Kormann, Raphaël | Ridel, Christophe | Frémeaux-Bacchi, Véronique | Rondeau, Eric | Hertig, Alexandre

Edité par CCSD ; Lippincott, Williams & Wilkins -

International audience. A widespread belief is that typical hemolytic and uremic syndrome (HUS) does not recur. We report the case of a patient infected twice with raw milk taken from his own cow and containing a Shiga toxin-producing Escherichia coli O174:H21 that induced recurrent HUS causing severe renal and cerebral disorders. A genomic comparison of the human and bovine Shiga toxin-producing Escherichia coli O174:H21 isolates revealed that they were identical. Typical HUS may recur. Since milk from this animal was occasionally distributed locally, thereby posing a serious threat for the whole village, this particular cow was destroyed.

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