🦠microbiology review

Enterohemorrhagic E. coli (O157:H7)

Written by the Fiveable Content Team • Last updated August 2025
Written by the Fiveable Content Team • Last updated August 2025

Definition

Enterohemorrhagic Escherichia coli (O157:H7) is a pathogenic strain of E. coli that produces Shiga toxin, leading to severe gastrointestinal illness. Infection can result in hemorrhagic colitis and potentially life-threatening hemolytic uremic syndrome (HUS).

5 Must Know Facts For Your Next Test

  1. Enterohemorrhagic E. coli (O157:H7) is primarily transmitted through contaminated food and water.
  2. The bacterium adheres to intestinal cells using adhesins, causing damage to the epithelial lining.
  3. Shiga toxins produced by E. coli O157:H7 inhibit protein synthesis in host cells, leading to cell death.
  4. Symptoms include severe abdominal cramps, bloody diarrhea, and vomiting; fever may or may not be present.
  5. Hemolytic uremic syndrome (HUS) is a serious complication that can cause kidney failure, especially in children and the elderly.
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