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Enterotoxigenic enteric bacteria in foods and outbreaks of food-borne diseases in Sweden

Published online by Cambridge University Press:  15 May 2009

M.-L. Danielsson ,
R. Möllby ,
H. Brag ,
N. Hansson ,
P. Jonsson ,
E. Olsson  and
T. Wadström
M.-L. Danielsson
Affiliation:
Department of Food Hygiene, College of Veterinary Medicine, SLU, S-104 05 Stockholm, Sweden
R. Möllby
Affiliation:
National Bacteriological Laboratory, S-105 21 Stockholm, Sweden
H. Brag
Affiliation:
Board of Health, Fack, S-104 62 Stockholm, Sweden
N. Hansson
Affiliation:
Board of Health, Fack, S-104 62 Stockholm, Sweden
P. Jonsson
Affiliation:
Department of Bacteriology and Epizootiology, College of Veterinary Medicine, SLU, Box 583 S-75123 Uppsala, Sweden
E. Olsson
Affiliation:
Department of Bacteriology and Epizootiology, College of Veterinary Medicine, SLU, Box 583 S-75123 Uppsala, Sweden
T. Wadström
Affiliation:
Department of Bacteriology and Epizootiology, College of Veterinary Medicine, SLU, Box 583 S-75123 Uppsala, Sweden
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Summary

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All of 86 foods routinely examined for potentially pathogenic enteric bacteria were found to harbour one or more coliform species. None of the strains isolated produced heat-labile enterotoxin (LT) or showed invasive properties. The suckling mouse test indicated that one strain of Escherichia coli produced heat-stable enterotoxin (ST). Twelve incidents of suspected food poisoning were also investigated. In two of them the foods examined contained LT-producing strains of E. coli and in two there were LT-producing strains of Klebsiella pneumoniae. The counts of viable enterotoxigenic micro-organisms in these foods were 3000–30 000 E. coli/g and 50 000 to 1 million K. pneumoniae/g. The dominant symptom in all the incidents was watery diarrhoea. These seem to be the first reported cases of foodborne enterotoxigenic enteric bacteria in Europe. Though enterotoxigenic E. coli and related gram-negative enterotoxin-producing species are rare in correctly handled food in Sweden, these micro-organisms should be searched for when outbreaks of food poisoning are investigated.

Type
Research Article
Information
Journal of Hygiene , Volume 83 , Issue 1 , August 1979 , pp. 33 - 40
Copyright
Copyright © Cambridge University Press 1979

References

Bäck, E., Blomberg, S. & Wadström, T. (1977). Enterotoxigenic Escherichia coli in Sweden. Infection 5, 2.CrossRefGoogle Scholar
Bäck, E., Jonsson, M. & Wadström, T. (1978). Enterotoxin-producing bacteria in stools from Swedish United Nation soldiers on Cyprus. Infection 6, 116.CrossRefGoogle ScholarPubMed
Center for disease control (1976). Diarrheal illness on a cruise ship caused by enterotoxigenic Escherichia coli. Morbidity and Mortality Weekly Report 25, 229.Google Scholar
Donta, S., Sack, D. A., Wallace, R. B., Dupont, H. L. & Sack, R. B. (1974). Tissue culture assay of antibodies to heat-labile Escherichia coli enterotoxins. New England Journal of Medicine 291, 117.CrossRefGoogle ScholarPubMed
Dupont, H. L., Formal, S. B., Hornick, R. B., Snyder, M. J., Libonati, J. P., Sheahan, D. G., La brec, E. H. & Kalas, J. P. (1971). Pathogenesis of Escherichia coli diarrhea. New England Journal of Medicine 285, 1.CrossRefGoogle ScholarPubMed
Evans, D. J. & Evans, D. G. (1973). Three characteristics associated with enterotoxigenic Escherichia coli isolated from man. Infection and Immunity 8, 322.CrossRefGoogle ScholarPubMed
Gianella, R. A. (1976). Suckling mouse model for detection of heatstable Escherichia coli enterotoxin. Characteristics of the model. Infection and Immunity 14, 95.CrossRefGoogle Scholar
Gorbach, S. L., Kean, B. H., Evans, D. G., Evans, D. J. & Bassudo, D. (1975). Travellers' diarrhoea and toxigenic Escherichia coli. New England Journal of Medicine 292, 933.CrossRefGoogle ScholarPubMed
Guerrant, R. L., Brunton, L. L., Schnaitman, T. C., Rebhun, L. I. & Gilman, A. G. (1974). Cyclic adenosine monophosphate and alteration of Chinese hamster ovary cell morphology: a rapid sensitive in vitro assay for the enterotoxins of Vibrio cholerae andEscherichia coli. Infectionand Immunity 10, 320.CrossRefGoogle Scholar
Gyles, C., So, M. & Falkow, S. (1974). The enterotoxin plasmids of Escherichia coli. Journal of Infectious Diseases 130, 40.CrossRefGoogle ScholarPubMed
Klipstein, F. A., Holdeman, C. V., Cortino, J. J. & Moore, W. E. G. (1973). Enterotoxigenic intestinal bacteria in tropical sprue. Annals of Internal Medicine 79, 632.CrossRefGoogle ScholarPubMed
Kudoh, Y., Zen-yoji, H., Matsushita, S., Sakai, S. & Maruyama, T. (1977). Outbreaks of acute enteritis due to heat-stable enterotoxin-producing strains of Escherichia coli. Microbiology and Immunology 21, 175.CrossRefGoogle ScholarPubMed
Levine, M. M., Nalin, D. R., Hooever, D. L., Bergquist, R. B. & Hornick, R. B. (1977). Immunity to enterotoxigenic Escherichia coli. Abstracts from 17 th Interscience Conference on Antimicrobial Agents and Chemo-therapy, no. 358, New York.Google Scholar
Mehlman, I. J., Fishbein, M., Gorbach, S. L., Sanders, A. C., Eide, E. L. & Olsson, J. JR (1976). Pathogenicity of Escherichia coli recovered from food. Journal of the Association of Official Analytical Chemists 59, 67.Google ScholarPubMed
Merson, M. H., Morris, G. K., Sack, D. A., Wells, J., Creech, J. G., Feely, J. C., Sack, R. B., Kapikian, A. Z. & Gangarosa, E. J. (1976). Travellers' diarrhoea in Mexico: a prospective study. New England Journal of Medicine 294, 1299.CrossRefGoogle ScholarPubMed
Nord, C. E., WadstrÖm, T. & DahlbÄk, A. (1975). Evaluation of different diagnostic kits for enterobacteriaceae. In New Approaches to Identification of Microorganisms(ed. Hedén, C. -G. & Illenyi, T.) p. 393. New York: Wiley.Google Scholar
ØRskov, F., ØRskov, I., Evans, D. J., Sack, R. B., Sack, D. A. & WadstrÖm, T. (1976). Special Escherichia coli serotypes among enterotoxigenic strains from diarrhoea in adults and children. Medical Microbiology and Immunology 162, 73.CrossRefGoogle ScholarPubMed
Rosenberg, M. L., Koplan, J. P., Wachsmuth, I. K., Wells, J. G., Gangarosa, E. J., Guerrant, R. L. & Sack, D. A. (1977). Epidemic diarrhoea at Crater Lake from enterotoxigenicEscherichia coli. Annals of Internal Medicine 86, 714.CrossRefGoogle Scholar
Sack, R. B. (1975). Human diarrhoeal disease caused by enterotoxigenicEscherichia coli. Annual Review of Microbiology 29, 333.CrossRefGoogle Scholar
Sack, R. B., Sack, D. A., Mehlman, I. J., ØRskov, F. & ØRskov, I. (1977). Enterotoxigenic Escherichia coli isolated from food. Journal of Infectious Diseases 135, 313.CrossRefGoogle ScholarPubMed
Sack, R. B. (1978). International conference on the diarrhoea of travellers – new directions in research: A summary. Journal of Infectious Diseases 137, 355.Google Scholar
Schoub, B. D., Greef, A. S., Lecatsas, G., Prozesky, O. W., Hay, I. T., Prinsloo, J. G. & Ballard, R. C. (1977). A microbiological investigation of acute summer gastroenteritis in Black South African Infants. Journal of Hygiene 78, 377.CrossRefGoogle ScholarPubMed
Scotland, S. M., Gross, R. J. & Rowe, B. (1977). Serotype-related enterotoxicity in Escherichia coli O6:H16 and 0148:H28. Journal of Hygiene 79, 395.CrossRefGoogle Scholar
SerÉny, B. (1957). Experimental keratoconjunctivitis shigellosa. Acta Microbiologica (Academiae Scientianum Hungaricae) 4, 367.Google ScholarPubMed
Smith, H. W. & Halls, S. (1967). Observations by the ligated intestinal segment and oral inoculation methods on Escherichia coli infections in pigs, calves, lambs and rabbits. Journal of Pathology and Bacteriology 93, 499.CrossRefGoogle ScholarPubMed
Thatcher, F. S. & Clark, D. S. (eds.) (1968). Microorganisms in Foods. Their Significance and Methods for Enumeration. University Toronto Press, Canada.Google Scholar
Wadström, T., Aust kettis, A., Habte, D., Holmgren, J., Meeuwisse, G., Möllby, R. & Söderlind, O. (1976). Enterotoxin producing bacteria and parasites in stools of Ethiopian children with diarrhoeal disease. Archives of Disease in Childhood 51, 865.CrossRefGoogle ScholarPubMed