Fatal case of hemolytic-uremic syndrome in an adult due to a rare serogroup O91 Entero hemorrhagic Escherichia coli associated with a Clostridium difficile infection. More than meets the eye

AbstractHemolytic-uremic syndrome due to enterohemorrhagic Escherichia coli, belonging to serogroup O91 has rarely been described. We report here a case of post-diarrheal HUS due to EHEC O91 in an elderly patient for whom diagnosis was delayed given a previously diagnosed C. difficile infection. This case highlights the usefulness of Shiga-toxin detection

Les infections intestinales associées à l'antibiothérapie

REIMS-BU Santé (514542104) / SudocSudocFranceF

Infectionsà Escherichia coli entérohémorragiques : cas de syndrome hémolytique et urémique pédiatrique au Centre hospitalier de Reims entre 1996 et 2005

REIMS-BU Santé (514542104) / SudocSudocFranceF

Infections intestinales à Campylobacter au CHU de Reims entre 2005 et 2006

REIMS-BU Santé (514542104) / SudocSudocFranceF

Infections digestives à Salmonelle : étude de cas observés en pédiatrie au CHU de Reims, au cours des années 2002 et 2003

REIMS-BU Santé (514542104) / SudocSudocFranceF

Etude de cas de maladies des griffes du chat observés au CHU de Reims entre 2009 et 2012

REIMS-BU Santé (514542104) / SudocSudocFranceF

Etude de cas de maladies des griffes du chat observés au CHU de Reims entre 2009 et 2012

REIMS-BU Santé (514542104) / SudocSudocFranceF

Characterization of Extended-Spectrum Beta-Lactamase–Producing Salmonella enterica Serotype Brunei and Heidelberg at the Hussein Dey Hospital in Algiers (Algeria)

The purpose of this work was to study the genetic determinants responsible for extended-spectrum cephalosporin (ESC) resistance of Salmonella collected during the period of 1995-2008 at the Hussein Dey hospital in Algiers (Algeria). Fourteen ESC-resistant Salmonella isolates were tested towards 22 antimicrobial agents. Polymerase chain reaction (PCR) and sequencing were used to determine the underlying genetic determinants responsible for the extended-spectrum beta-lactamase (ESBL) phenotypes. Enterobacterial Repetitive Intergenic Consensus PCR was employed to type the isolates. All tested isolates were resistant to ticarcillin, ticarcillin-clavulanate, piperacillin, cefuroxime, aztreonam, ceftazidime, cefotaxime (except two isolates), cefepime, and cefpirome. PCR and DNA sequencing identified these ESBLs as TEM-48 (n=6), TEM-4 (n=3), CTX-M-15 (n=4), and one new TEM, designated TEM-188. Thus, continued surveillance for the presence of ESBL-producing (non-typhoidal) salmonellae in Algeria is essential