RESUMEN

Two Escherichia coli O-rough:K1:H7 strains producing verotoxin 1 that were isolated from stool samples of two travelers with diarrhea who consulted our clinic after trips to the Indian Subcontinent and Central America were characterized. Both strains were sorbitol negative, the same phenotype presented by E. coli O157:H7, but in contrast they were beta-glucuronidase positive. Low-frequency restriction analysis of chromosomal DNA and pulsed-field gel electrophoresis and repetitive extragenic palindrome-PCR showed that both strains were epidemiologically related. The illness was self-limited in both cases but involved long-duration, watery diarrhea (10 to 50 days) accompanied by abdominal cramps and flatulence. This serotype should be taken into account as a possible cause of traveler's diarrhea.

Asunto(s)

Toxinas Bacterianas/metabolismo , Diarrea/microbiología , Infecciones por Escherichia coli/diagnóstico , Infecciones por Escherichia coli/microbiología , Escherichia coli/aislamiento & purificación , Escherichia coli/metabolismo , Adulto , Antibacterianos/farmacología , Técnicas Bacteriológicas , América Central/epidemiología , ADN Bacteriano/análisis , Diarrea/epidemiología , Electroforesis en Gel de Campo Pulsado , Escherichia coli/efectos de los fármacos , Infecciones por Escherichia coli/epidemiología , Heces/microbiología , Femenino , Genoma Bacteriano , Humanos , India/epidemiología , Masculino , Pruebas de Sensibilidad Microbiana , Antígenos O/inmunología , Antígenos O/metabolismo , Reacción en Cadena de la Polimerasa/métodos , Polimorfismo de Longitud del Fragmento de Restricción , Toxina Shiga I , Viaje