Enteroaggregative Escherichia coli Associated with Persistent Diarrhea in a Cohort of Rural Children in India (original) (raw)

Journal Article

,

Departments of Pediatrics and Microbiology, Division of Gastroenterology and Enteric Infections

, All

India Institute of Medical Sciences

,

New Delhi

, and the

Center for Vaccine Development, Division of Infectious Diseases and Tropical Pediatrics (Department of Pediatrics)

, and the

Division of Geographic Medicine (Department of Medicine), University of Maryland School of Medicine

,

Baltimore

Please address requests for reprints to Dr. M. K. Bhan, Department of Pediatrics, All India Institute of Medical Sciences, New Delhi, India.

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Departments of Pediatrics and Microbiology, Division of Gastroenterology and Enteric Infections

, All

India Institute of Medical Sciences

,

New Delhi

, and the

Center for Vaccine Development, Division of Infectious Diseases and Tropical Pediatrics (Department of Pediatrics)

, and the

Division of Geographic Medicine (Department of Medicine), University of Maryland School of Medicine

,

Baltimore

Search for other works by this author on:

,

Departments of Pediatrics and Microbiology, Division of Gastroenterology and Enteric Infections

, All

India Institute of Medical Sciences

,

New Delhi

, and the

Center for Vaccine Development, Division of Infectious Diseases and Tropical Pediatrics (Department of Pediatrics)

, and the

Division of Geographic Medicine (Department of Medicine), University of Maryland School of Medicine

,

Baltimore

Search for other works by this author on:

,

Departments of Pediatrics and Microbiology, Division of Gastroenterology and Enteric Infections

, All

India Institute of Medical Sciences

,

New Delhi

, and the

Center for Vaccine Development, Division of Infectious Diseases and Tropical Pediatrics (Department of Pediatrics)

, and the

Division of Geographic Medicine (Department of Medicine), University of Maryland School of Medicine

,

Baltimore

Search for other works by this author on:

,

Departments of Pediatrics and Microbiology, Division of Gastroenterology and Enteric Infections

, All

India Institute of Medical Sciences

,

New Delhi

, and the

Center for Vaccine Development, Division of Infectious Diseases and Tropical Pediatrics (Department of Pediatrics)

, and the

Division of Geographic Medicine (Department of Medicine), University of Maryland School of Medicine

,

Baltimore

Search for other works by this author on:

,

Departments of Pediatrics and Microbiology, Division of Gastroenterology and Enteric Infections

, All

India Institute of Medical Sciences

,

New Delhi

, and the

Center for Vaccine Development, Division of Infectious Diseases and Tropical Pediatrics (Department of Pediatrics)

, and the

Division of Geographic Medicine (Department of Medicine), University of Maryland School of Medicine

,

Baltimore

Search for other works by this author on:

,

Departments of Pediatrics and Microbiology, Division of Gastroenterology and Enteric Infections

, All

India Institute of Medical Sciences

,

New Delhi

, and the

Center for Vaccine Development, Division of Infectious Diseases and Tropical Pediatrics (Department of Pediatrics)

, and the

Division of Geographic Medicine (Department of Medicine), University of Maryland School of Medicine

,

Baltimore

Search for other works by this author on:

Departments of Pediatrics and Microbiology, Division of Gastroenterology and Enteric Infections

, All

India Institute of Medical Sciences

,

New Delhi

, and the

Center for Vaccine Development, Division of Infectious Diseases and Tropical Pediatrics (Department of Pediatrics)

, and the

Division of Geographic Medicine (Department of Medicine), University of Maryland School of Medicine

,

Baltimore

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Revision received:

09 January 1989

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M. K. Bhan, P. Raj, M. M. Levine, J. B. Kaper, N. Bhandari, R. Srivastava, R. Kumar, S. Sazawal, Enteroaggregative Escherichia coli Associated with Persistent Diarrhea in a Cohort of Rural Children in India, The Journal of Infectious Diseases, Volume 159, Issue 6, June 1989, Pages 1061–1064, https://doi.org/10.1093/infdis/159.6.1061
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Abstract

A cohort of 452 rural children was followed longitudinally for 13 mo to ascertain the role of HEp-2 cell adherent Escherichia coli and other pathogens in causing acute (≤14 d) and persistent (>14 d) diarrhea. Aeromonas, Campylobacter jejuni, E. coli manifesting localized adherence to HEp-2 cells and enterotoxigenic E. coli were significantly associated with acute diarrhea. E. coli strains that exhibit aggregative adherence, so-called enteroaggregative E. coli, a newly-described category of diarrheagenic E. coli distinct from enterotoxigenic, enteroinvasive, enterohemorrhagic, and enteropathogenic E. coli, were found significantly more often in patients with persistent diarrhea (29.5%) than with acute diarrhea (12.8%) (P = .0052) or controls (9.9%) (P = .0006).

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© 1989 by The University of Chicago

Topic:

• diarrhea, acute
• campylobacter jejuni
• diarrhea
• aeromonas
• child
• india
• hepatoerythropoietic porphyria
• persistence
• pathogenic organism
• escherichia coli
• enteroaggregative escherichia coli

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