E coli – Philippines
A surging number of cases of acute bloody diarrhoea due to E. coli were reported in many provinces in Calabarzon, Philippines.
19 cases were recorded in Quezon, 13 in Rizal, 8 in Laguna and 4 in Cavite.
Photo: E coli at 10 000 x magnification.
Some strains of E. coli are harmful. Shigatoxigenic Escherichia coli (STEC) and verotoxigenic E. coli (VTEC) are strains of the bacterium Escherichia coli that produce either Shiga toxin or Shiga-like toxin (verotoxin). Only a minority of the strains cause illness in humans. These are collectively known as enterohemorrhagic E. coli (EHEC).
They are a major cause of foodborne-illness. When infecting humans, they often cause gastroenteritis, enterocolitis, bloody diarrhea, and sometimes cause a severe complication called hemolytic-uremic syndrome.
After eating contaminated food, the first symptoms of infection can emerge anywhere from 1 to 10 days later, but usually after 3 to 4 days. These early symptoms can include diarrhea (which is often bloody), stomach cramps, mild fever, or vomiting that results in dehydration and reduced urine. Hemolytic uremic syndrome typically develops about 5 to 10 days after the first symptoms, but can take up to 3 weeks to manifest, and occurs at a time when the diarrhea is improving.
The country with the highest incidence of hemolytic-uremic syndrome is Argentina. But it can occur in frequently large outbreaks in any country.
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