Colonic ischaemia as a severe Shiga toxin/verotoxin producing Escherichia coli O104:H4 complication in a patient without haemolytic uraemic syndrome, Germany, June 2011

S Cordesmeyer; U Peitz; N Gödde; H U Kasper; M W Hoffmann; E Allemeyer

doi:10.2807/ese.16.25.19895-en

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Colonic ischaemia as a severe Shiga toxin/verotoxin producing Escherichia coli O104:H4 complication in a patient without haemolytic uraemic syndrome, Germany, June 2011
S Cordesmeyer¹ , U Peitz² , N Gödde³ , H U Kasper⁴ , M W Hoffmann¹ , E Allemeyer^1,5
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Affiliations: ¹ Department of General and Visceral Surgery, Raphaelsklinik Münster, Germany ² Department of Gastroenterology, Raphaelsklinik Münster, Germany ³ Department of Anestesiology, Raphaelsklinik Münster, Germany ⁴ Institute of Pathology Medical Center, Münster, Germany ⁵ Division of Coloproctology, Raphaelsklinik Münster, Germany

Correspondence:
S Cordesmeyer
s.cordesmeyer raphaelsklinik.de
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Citation style for this article: Cordesmeyer S, Peitz U, Gödde N, Kasper H U, Hoffmann M W, Allemeyer E. Colonic ischaemia as a severe Shiga toxin/verotoxin producing Escherichia coli O104:H4 complication in a patient without haemolytic uraemic syndrome, Germany, June 2011. Euro Surveill. 2011;16(25):pii=19895. https://doi.org/10.2807/ese.16.25.19895-en Received: 15 Jun 2011

Abstract

An increasing rate of infections with Shiga toxin/verotoxin-producing Escherichia coli (STEC/VTEC) O104:H4 has been observed in Germany since May 2011, with unusually high numbers of patients suffering from haemolytic uraemic syndrome (HUS). We report a STEC/VTEC O104:H4 case without HUS, presenting with colonic ischaemia demanding surgery. This atypical clinical presentation of STEC O104:H4 infection might indicate new severe complications associated with this uncommon strain, and highlights the importance of immediate interdisciplinary assessment of STEC/VTEC patients.