Skip to main content
Log in

EnterotoxigenicEscherichia coli (ETEC) isolated in the Tel-Aviv (Israel) area

  • Published:
Medical Microbiology and Immunology Aims and scope Submit manuscript

Abstract

The prevalence of enterotoxigenicE. coli (ETEC) as a pathogenic agent of diarrhoea in the Tel-Aviv (Israel) area was determined, and the isolatedE. coli strains characterized. During three periods (summer 1977, summer 1978, and summer 1979), a total of 335 specimens were tested for the presence ofE. coli producing LT and ST toxin. Most of the specimens were from sporadic ambulatory diarrhoea cases (children and adults) attending a number of health care clinics in Tel-Aviv. Two to five colonies were tested from each sample. ETEC was detected in 69 cases (20%): LT/ST strains were isolated from 9 cases (2.7%); LT from 7 cases (2.1%); and ST from 53 cases (15.2%). ETEC was isolated in all age groups.

In 19 specimens, 2 or more of 4 colonies tested were enterotoxigenic and were identical according to biotype, antibiotic sensitivity, and serogroup. These findings suggest that enterotoxigenic strains predominated in the bacterial population of the stool specimen. Part of the isolated ETEC strains belonged to serotypes already known as enterotoxigenic in different geographic areas of the world. The most frequently encountered were serogroups O8 (9 cases) represented by at least three serotypes, among them O8:K40:H9, and serotype O6:K15:H16 (5 cases); a number of serotypes were represented only by two cases or by single cases. Among 16 LT-producing stains (LT/ST and LT-only), 13 belonged to 3 serogroups, while ST-only strains represented a large spectrum of serotypes, some of which are now known as enterotoxigenic. Several serotypes common in other geographical locations were not detected.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Back E, Blomberg M, Wadström T (1977) Enterotoxigenic Eschericihia coli in Sweden. Infection 5:2–5

    Article  PubMed  Google Scholar 

  2. Back E, Jonsson M, Wadström T (1978) Enterotoxin-producing bacteria in stools from Swedish United Nations soldiers in Cyprus. Infection 6:116–120

    Article  PubMed  Google Scholar 

  3. De SN, Chatterje DN (1953) An experimental study of the mechanism of action of Vibrio cholerae on the intestinal mucous membrane. J Path Bact 66:559–562

    Article  PubMed  Google Scholar 

  4. Donta ST, Moon HW, Whipp SC (1974) Detection of heat labile Escherichia coli enterotoxin with the use of adrenal cells in tissue culture. Science 183:334–336

    PubMed  Google Scholar 

  5. Dragas AZ, Zajc-Satler J, Janc M, Hren-Vencely H, Drinovec B, Strand S (1979) Some biological characteristics of E. coli strains isolated from acute diarrhoeal diseases of infants. Zbl Bact Hyg I Abt Orig A 244:439–451

    Google Scholar 

  6. Echeverria P, Verhaest L, Basaca-Sevilla V, Banson T, Cross J, Ørskov F, Ørskov I, (1978) Search for heat-labile enterotoxigenic coli in humans, livestock, food and water in a community in the Phillipines. J Inf Dis 138:87–90

    Google Scholar 

  7. Edwards PR, Ewing WH (1972) Identification of Enterobacteriaceae 3rd Ed. Burgess Publ Co, Minneapolis

    Google Scholar 

  8. Evans DJ, Evans DG (1977) Direct serological assay for the heat-labile enterotoxin of E. coli using Passive Immune Hemolysis. Infect Immun 16:604–609

    PubMed  Google Scholar 

  9. Evans DJ, Evans DG, Du-Pont HL (1979) Hemagglutination patterns of enterotoxigenic and enteropathogenic E. coli determined with human, bovine, chicken, and guinea pig erythrocytes in the presence and absence of Mannose. Infect Immun 23:336–346

    PubMed  Google Scholar 

  10. Gianella RA (1976) Suckling mouse model for detection of heat-stable E. coli enterotoxin: characteristics of the model. Infect Immun 14:95–99

    PubMed  Google Scholar 

  11. Guerrant RL, Moore RA, Kirschfelt PM, Sande MA (1975) Role of toxinogenic and invasive bacteria in acute diarrhoea of childhood. N Engl J Med 293:567–573

    PubMed  Google Scholar 

  12. Kudoh Y, Zei-Yoji H, Matsushita S, Saha S, Maruyama T (1977) Outbreaks of acute enteritis due to heat stable enterotoxin producing strain of E. coli. Microbiol Immun 21:175–178

    Google Scholar 

  13. Levine MM, Caplan ES, Waterman D, Cash RA, Hornick RB, Snyder MJ (1977) Diarrhea caused by E. coli that produce only heat stabile enterotoxin. Infect Immun 17:78–82

    PubMed  Google Scholar 

  14. Merson MH, Ørskov F, Ørskov I, Sack RB, Hug I, Koster FT (1979) Relationship between enterotoxin production and serotype in enterotoxigenic Escherichia coli. Infect Immun 23:325–329

    PubMed  Google Scholar 

  15. Ørskov F, Ørskov I et al. (1976) Special E. coli serotypes among enterotoxigenic E. coli strains from diarrhea in adults and children. Med Microbiol Immun I 162:73–80

    Google Scholar 

  16. Ørskov F, Ørskov I (1977) Special O:K:H serotypes among enterotoxigenic E. coli strains from diarrhea in adults and children. Med Microbiol Immun II 163:99–110

    Article  Google Scholar 

  17. Ørskov I, Ørskov F, Jann B, Jann K (1977) Serology, chemistry and genetics of O and K antigens of Escherichia coli. Bact Rev 41:667–710

    PubMed  Google Scholar 

  18. Rowe B, Scotland SM, Gross RJ (1977) Enterotoxigenic E. coli causing infantile enteritis in Britain. The Lancet I:90

    Article  Google Scholar 

  19. Ryder RW, Sack DA, Kapikian AZ, McLaughlin JC, Chakraborty ASM, Rahman M, Merson MH, Wells JG (1976) Enterotoxigenic Escherichia coli and reovirus-like agent in rural Bangladesh. The Lancet I:659–662

    Article  Google Scholar 

  20. Ryder RW, Wachsmuth JK, Buxton AE, Evans DG, Du Pont HL, Mason E, Barret FI (1976) Infantile diarrhoea produced by heat-stable enterotoxigenic Escherichia coli. N Engl J Med 295:849–853

    PubMed  Google Scholar 

  21. Rudoy RC, Nelson JD (1975) Enteroinvasive and enterotoxigenic Escherichia coli. Occurrence in acute diarrhoea of infants and children. Am J Dis Child 129:668–672

    PubMed  Google Scholar 

  22. Sack DA, Sack RB (1975) Test for enterotoxigenic E coli using Y-1 adrenal cells in minicultures. Infect Immun 11:334–335

    PubMed  Google Scholar 

  23. Sack RB, Hirschorn N, Brownlee et al (1975) Enterotoxigenic E. coli associated with diarrheal disease in Apache children. N Eng J Med 292:1041–1045

    Google Scholar 

  24. Sack RB (1975) Human diarrheal disease caused by enterotoxigenic E. coli. Ann Rev Micro 29:333–353

    Article  Google Scholar 

  25. Scotland SM, Gross RI, Rove B (1977) Serotype-related enterotoxigenicity of E. coli O6:H16 and O148:H28. J Hyg (Camb) 79:395–403

    Google Scholar 

  26. Wadström T, Aust-Ke A, Habte D, Meeuwisse G, Holmgren J, Molby R, Soderlind O (1976) Enterotoxin-producing bacteria and parsites in stools of Ethiopian children with diarrheal disease. Arch Dis Childhood 51:865–870

    Google Scholar 

  27. Wadström T (1978) Relative importance of enterotoxigenic and invasive enteropathogenic bacteria in infantile diarrhea. Zbl Bakt Hyg I Abt Orig A 242:52–62

    Google Scholar 

  28. Yekutiel P (1979) Infective diseases in Israel. Changing patterns over 30 years. Isr J Med Sci 15:976–982

    PubMed  Google Scholar 

  29. Zilberberg A, Goldhar J, Peri R, Drucker MM, Lahav M (1979) Preliminary survey of enterotoxigenic E. coli in Israel. Harefuah 56:96–99

    Google Scholar 

  30. Zilberberg A, Peri R, Goldhar J, Lahav M (1980) Survey of enterotoxigenic Escherichia coli in the Tel Aviv area. Isr J Med Sci 16:75

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Goldhar, J., Peri, R., Zilberberg, R. et al. EnterotoxigenicEscherichia coli (ETEC) isolated in the Tel-Aviv (Israel) area. Med Microbiol Immunol 169, 53–61 (1980). https://doi.org/10.1007/BF02123712

Download citation

  • Received:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02123712

Keywords

Navigation