Notice to health care providers — Shiga toxin-producing E. coli O104 (STEC O104:H4) infections in U.S. travelers returning from Germany
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Notice to health care providers — Shiga toxin-producing E. coli O104 (STEC O104:H4) infections in U.S. travelers returning from Germany

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      June 3, 2011, 9:30 a.m. EST CDCHAN-00322-ADV-N CDC is monitoring a large outbreak of Shiga toxin-producing Escherichia coli 0104:H4 (STEC 0104:H4) infections ongoing in Germany. The responsible strain shares virulence characteristics with enteroaggregative E. coli (EAEC). As of May 31, 2011, the Robert Koch Institute (RKI) reported 470 patients with hemolytic uremic syndrome, or HUS (a severe condition associated with STEC infection that can lead to kidney failure), and nine deaths. The strain of STEC that is causing this illness, STEC 0104:H4 is very rare. The illness that it causes is similar to that caused by E. coli 0157:H7 or STEC 0157:H7, which is also a Shiga toxin-producing E. coli.
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