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Letters and Corrections1 July 1985Verocytotoxin-Producing Escherichia coli 0157:H7 and DiarrheaW. R. GRANSDEN, M.A., M.B., B.CH., DAMM SUE, L.C.S.L.T., J. D. ANDERSON, M.D., Ph.D.W. R. GRANSDEN, M.A., M.B., B.CH.Search for more papers by this author, DAMM SUE, L.C.S.L.T.Search for more papers by this author, J. D. ANDERSON, M.D., Ph.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-103-1-160 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptTo the editor: It has recently been suggested that the sorbitol fermentation reaction of Escherichia coli could be used as an effective screening test for the presence of the 0157:H7 serotype in patients with haemorrhagic colitis (1, 2). At the British Columbia's Children's Hospital in Vancouver, we have used this screening method since September 1983, although for wider indications.All stool specimens from children with diarrhea (with or without blood) as well as urine, stool, and most other specimens from patients with the hemolytic uremic syndrome are directly inoculated onto MacConkey agar plates containing 0.5% sorbitol instead of lactose. Strains...References1. Isolation of E. coli 0157:H7 from sporadic cases of hemorrhagic colitis—United States. MMWR. 1982;31:580-5. MedlineGoogle Scholar2. PAIGORDONSIMSBRYAN CRHL. Sporadic cases of hemorrhagic colitis associated with Escherichia coli 0157:H7: clinical, epidemiologic, and bacteriologic features. Ann Intern Med. 1984;101:738-42. LinkGoogle Scholar3. MARTINWASHINGTON WJ. Enterobacteriaceae. In: LENNETTE EH, ed. Manual of Clinical Microbiology. 3rd ed. Washington, D.C.: American Society for Microbiology; 1980:206. Google Scholar4. KARMALISTEELEPETRICLIM MBMC. Sporadic cases of haemolytic-uraemic syndrome associated with faecal cytotoxin and cytotoxin-producing Escherichia coli in stools. Lancet. 1983;1:619-20. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: W. R. GRANSDEN, M.A., M.B., B.CH.; DAMM SUE, L.C.S.L.T.; J. D. ANDERSON, M.D., Ph.D. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byLongitudinal Study of Escherichia coli O157:H7 Dissemination on Four Dairy Farms in WisconsinEnterocolitis associated with Shiga-like toxin production: An appropriate animal model at last?Molecular epidemiology of Escherichia coli O157:H7 strains by bacteriophage lambda restriction fragment length polymorphism analysis: application to a multistate foodborne outbreak and a day-care center clusterBibliographyOutpatient clinical ethicsDevelopment and evaluation of enzyme-linked immunosorbent assays for detection of shiga-like toxin I and shiga-like toxin IIPurification and some properties of a Vero toxin from Escherichia coli O157:H7 that is immunologically unrelated to Shiga toxin 1 July 1985Volume 103, Issue 1Page: 160-160KeywordsBloodChildrenColitisDiarrheaEscherichia coliHemolytic-uremic syndromeLactoseUrine ePublished: 1 December 2008 Issue Published: 1 July 1985 PDF downloadLoading ...
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Gransden et al. (1985) studied this question.
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