E. Coli-Tainted Romaine Threatens Frail, Sick Most
https://ift.tt/2DTAAjS WEDNESDAY, Nov. 21, 2018 (HealthDay News) -- U.S. health officials have warned all Americans to stay away from romaine lettuce this holiday season, due to potential contamination with E. coli. So far, 32 people across 11 states have been sickened. Although no one has died, illnesses have been so severe that in 13 cases patients had to be hospitalized, the U.S. Centers for Disease Control and Prevention said Tuesday. So who's most at risk from E. coli? Dr. Robert Glatter is an emergency physician at Lenox Hill Hospital in New York City who's seen the effects of infection with the gastrointestinal bug firsthand. It's not a minor ailment, he said. "In general, symptoms of E. coli infection generally begin about three to four days after consuming the bacteria, and may include abdominal cramping, nausea, vomiting, and watery or bloody diarrhea, along with fever," Glatter said. And while healthy people who battle a bout of E. coli typically recover within five to seven days, the illness can be more protracted -- and even deadly -- for people already made vulnerable by chronic disease or advanced age. "People with diabetes, kidney disease or those with cancer or autoimmune disease run the risk of a more severe illness," Glatter explained. The particular strain of E. coli detected in the current lettuce outbreak -- E. coli O157:H7 -- is particularly nasty, he noted. "Most strains of E. coli do not actually cause diarrhea, but E. coli O157 produces a powerful toxin that injures the inner lining of the small intestine, leading to bloody diarrhea," Glatter said. Even a tiny amount of ingested bacteria could spur this type of illness. "It can make people much more ill, and may lead to hemolytic uremic syndrome, a type of kidney failure, in some cases," he said. Indeed, the CDC has reported one such case already in the latest outbreak. In many cases, antibiotics are used to help beat back an E. coli infection, but these drugs can affect the kidneys, Glatter noted. "Antibiotics may be necessary in certain cases, so it's important to see your doctor if you have continued and severe symptoms such as fever, bloody diarrhea, and you are not able to eat or drink," he said. Health via WebMD Health https://www.webmd.com/ November 21, 2018 at 01:38PM
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