Enteroaggregative Escherichia coli: A review of trends, diagnosis, and treatment

David J. Cennimo, Hoonmo Koo, Jamal A. Mohamed, David B. Huang, Tom Chiang

Research output: Contribution to journalReview articlepeer-review

14 Scopus citations

Abstract

Enteroaggregative Escherichia coli (EAEC) is an increasingly recognized cause of acute diarrhea among both children and adults. Travelers to developing regions such as India, Jamaica, and Mexico are at increased risk. Contamination of food and water plays a central role in transmission. The clinical presentation of EAEC infection is characterized by watery diarrhea, usually unaccompanied by blood or mucus. The gold standard for diagnosis is the HEp-2 cell adherence assay; the unique "stacked-brick" aggregative pattern of adherence is characteristic of this pathogen. However, because laboratory diagnosis is not routinely available, symptomatic infections are usually treated empirically. In most regions, EAEC strains are susceptible to the fluoroquinolones and rifaximin.

Original languageEnglish (US)
Pages (from-to)100-110
Number of pages11
JournalInfections in Medicine
Volume24
Issue number3
StatePublished - Mar 2007
Externally publishedYes

Keywords

  • Diarrhea
  • Enteroaggregative
  • Escherichia coli

ASJC Scopus subject areas

  • Microbiology (medical)
  • Infectious Diseases

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