HeMe November issue | Page 14

E .coli is a bacterium that is commonly found in the gut of humans and other warm-blooded animals. It is one of the most frequent causes of many common bacterial infections, including cholecystitis, bacteremia, cholangitis, urinary tract infection, and traveller’s diarrhoea, and other clinical infections such as neonatal meningitis and pneumonia. The genus Escherichia is named after Theodor Escherich, who isolated the type species of the genus. E. coli is a small, catalase-positive, oxidase-negative, gramnegative bacillus in the. family Enterobacteriaceae. It characteristically reduces nitrates, ferments glucose and usually lactose, and is either motile (with peritrichate flagella) or non-motile. There are many types of E. coli, and most of them are harmless. But some can cause bloody diarrhea. These are called enterohemorrhagic E. coli (EHEC). One common type is called E. coli O157:H7. In some people, this type of E. coli may also cause severe anaemia or kidney failure, which can lead to death. Other strains of E. coli can cause urinary tract infections or other infections. The pathogenesis of enteric E. coli infections begins with the ingestion of the organism in contaminated food or water, which then faces the normal gastric acid barrier.