Fatal Meningitis from Shiga Toxin-Producing Escherichia coli in 2 Full-Term Neonates, France

Emerg Infect Dis. 2023 Aug;29(8):1703-1705. doi: 10.3201/eid2908.230169.

Abstract

We report fatal meningitis in 2 neonates in France caused by Shiga toxin 1-producing Escherichia coli. Virulence factors capsular K1 antigen and salmochelin were present in both strains, potentially representing a new hybrid pathotype. Clinicians should remain aware of emerging pathotypes and design therapeutic strategies for neonatal E. coli infections.

Keywords: Escherichia coli; France; Shiga toxin; Shiga toxin–producing Escherichia coli; bacteria; enteric infections; meningitis/encephalitis; neonate; newborn.

MeSH terms

  • Escherichia coli Infections* / epidemiology
  • Escherichia coli Proteins*
  • France / epidemiology
  • Humans
  • Infant, Newborn
  • Infant, Newborn, Diseases*
  • Meningitis*
  • Shiga-Toxigenic Escherichia coli*
  • Virulence Factors

Substances

  • Virulence Factors
  • Escherichia coli Proteins