The importance of testing whole stool for Shiga toxin: A clinical and microbiological perspective. | [Journal of Pakistan Medical Association • 2007]

Author(s):

1. Zainab A. Malik: Department of Pediatrics, Division of Pediatric Infectious Diseases, Montefiore Medical Center, Rosenthal, Bronx, US

2. Darcy Broughel: Department of Pediatrics, Division of Pediatric Infectious Diseases, Montefiore Medical Center, Rosenthal, Bronx, US

Abstract:

This case report emphasizes the importance of testing whole stool for the presence of Shiga toxin; especially in light of clinical suspicion, or whenever a grossly bloody stool specimen is received in the lab. Since organisms other than Escherichia coli O157:H7 can elaborate Shiga toxin, a negative stool culture for the usual enteric pathogens does not rule out the possibility of a Shiga toxin-mediated pathology in the appropriate clinical setting. The presence of this toxin in stool influences a physician`s approach towards the patient`s antimicrobial management.

Page(s): 265-266

DOI: DOI not available

Published: Journal: Journal of Pakistan Medical Association, Volume: 57, Issue: 5, Year: 2007

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