Indan Journal of Medical Research Indan Journal of Medical Research Indan Journal of Medical Research Indan Journal of Medical Research
  Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login  
  Home Print this page Email this page Small font sizeDefault font sizeIncrease font size Users Online: 1402       
REVIEW ARTICLE
Year : 2011  |  Volume : 133  |  Issue : 2  |  Page : 171-178

The discovery of cholera - like enterotoxins produced by Escherichia coli causing secretory diarrhoea in humans


Johns Hopkins University, Bloomberg School of Public Health, Baltimore, Maryland, USA

Correspondence Address:
R Bradley Sack
Department of International Health, Johns Hopkins University, Bloomberg School of Public Health 615 North Wolfe Street, Room W5953, Baltimore, Maryland, 21205
USA
Login to access the Email id

Source of Support: None, Conflict of Interest: None


PMID: 21415491

Rights and PermissionsRights and Permissions

Non-vibrio cholera has been recognized as a clinical entity for as long as cholera was known to be caused by Vibrio cholerae. Until 1968, the aetiologic agent of this syndrome was not known. Following a series of studies in patients with non-vibrio cholera it was found that these patients had large concentrations of Escherichia coli in the small bowel and stools which produced cholera toxin-like enterotoxins, and had fluid and electrolyte transport abnormalities in the small bowel similar to patients with documented cholera. Furthermore, these patients developed antibodies to the cholera-like enterotoxin. Later studies showed that these strains, when fed to volunteers produced a cholera-like disease and that two enterotoxins were found to be produced by these organisms: a heat-labile enterotoxin (LT) which is nearly identical to cholera toxin, and a heat-stable enterotoxin (ST), a small molecular weight polypeptide. E. coli that produced one or both of these enterotoxins were designated enterotoxigenic E. coli (ETEC). ETEC are now known not only to cause a severe cholera-like illness, but to be the most common bacterial cause of acute diarrhoea in children in the developing world, and to be the most common cause of travellers' diarrhoea in persons who visit the developing world.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed2426    
    Printed63    
    Emailed1    
    PDF Downloaded435    
    Comments [Add]    

Recommend this journal