March 2011

Complication of Bacterial Infections

Reactive Arthritis is the name used to describe an uncommon, but potentially debilitating group of symptoms that follows a gastrointestinal, genitourinary, or viral infection.

Irritable bowel syndrome (IBS) is one disorder in a spectrum of common functional gastrointestinal disorders. Symptoms of IBS can include constipation, diarrhea, alternating diarrhea and constipation, abdominal pain, urgency, bloating, straining at stools, and a sense of incomplete evacuation.

Post-diarrheal hemolytic uremic syndrome (D+HUS) is a severe, life-threatening complication that occurs in about 10 percent of those infected with E. coli O157:H7 or other Shiga toxin- (Stx-) producing E. coli.

Guillain-Barré (ghee-yan bah-ray) syndrome (GBS) is a disorder in which the body’s immune system attacks part of the peripheral nervous system. GBS often occurs a few days or weeks after a person has had symptoms of a respiratory or gastrointestinal viral or bacterial infection.

grandma.jpgSpecial Concerns of the Elderly

The occurrence of bacterial infection is a function of several major variables: (1) the virulence of the bacterial pathogen, that is, its ability to cause severe disease; (2) how the pathogen is transmitted to the “host”—for example, whether it is airborne, foodborne, blood borne, etc.; and (3) host susceptibility—i.e. how well the host can defend itself against the bacterial pathogen. Increased susceptibility, in turn, may result from two different processes: a bigger infectious dose in a given case of disease may cause a more severe infection, and physical characteristics particular to an individual host may render him or her less able to limit the spread of infectious microorganisms from the intestinal tract to the bloodstream.

Morbidity and mortality in the elderly from infectious disease is far greater than in other populations. For instance, death rates for infectious diarrheal disease alone are five times higher in people over 74 years of age than in the next highest group, children under four years of age, and fifteen times higher than the rates seen in younger adults. Published studies attribute the elderly’s heightened risks, both of infection and mortality due to enteric infectious disease, to several factors: (1) the aging of the gastrointestinal tract (reduced gastric acidity/reduced gastric mobility); (2) a higher prevalence of underlying medical disorders (co-morbidity factors); and (3) malnutrition and a decline in the immune response that leaves the host less able to defend itself against infectious agents.Continue Reading Risks to the Elderly in the middle of Bologna E. coli, Salmonella Cantaloupe and Salmonella Bakery Outbreaks

Having over one third of the victims in a Salmonella outbreak require hospitalization is a rarity.  A high hospitalization rate speaks to the dangerous nature of the particular strain of bacteria involved, sometimes, or to the population of people to whom the contaminated food items were sold. 

The Rhode Island Health Department’s release yesterday indicates

The FDA and Del Monte have recalled nearly 5,000 cases of cantaloupe after 13 cases of Salmonella serotype Panama were reported in the following states: Washington (4 cases), Oregon (5 cases), California (2 cases) Maryland (1 case) and Colorado (1 case).

The Rhode Island Department of Health has reported 25 people who are ill throughout

In conjunction with state health departments, the Centers for Disease Control and Prevention (CDC) announced on March 23 that it had identified 14 cases of E. coli O157:H7 illness among residents Maryland (3 cases), New Jersey (2 cases), North Carolina (1 case), Ohio (2 cases) and Pennsylvania (6 cases). After an epidemiologic investigation, the cause

Screen shot 2011-03-27 at 6.21.41 PM.pngThe Rhode Island Department of Health (HEALTH) continues its investigation of an outbreak of Salmonella, possibly related to zeppoles. HEALTH has now received reports of 25 people who are ill throughout the state, with a common characteristic among many as having consumed zeppoles from DeFusco’s Bakery. 13 of the 25 have tested positive for Salmonella

cantaloupe.jpgAmong the states implicated in Del Monte’s Cantaloupe Salmonella outbreak are Washington, Oregon, and California.  All three states have seen their share of Salmonella litigation.

Washington: 

Sprouters Northwest– Sprouts, 2010. Marler Clark has filed two lawsuits, one on behalf of a Washington resident and the other on behalf of an Oregon resident who were sickened

From the Rhode Island Department of Health:

The Rhode Island Department of Health (HEALTH) is investigating an outbreak of Salmonella, possibly related to yesterday’s recall of baked goods, including zeppoles. HEALTH has received reports of 19 people who are ill, with a common characteristic among many as having consumed zeppoles from DeFusco’s Bakery. Nine