Escherichia coli O121 is a pathogenic serotype of Escherichia coli , [1] associated with Shiga toxin, intestinal bleeding, and hemolytic-uremic syndrome (HUS). [2] HUS, if left untreated, can lead to kidney failure.[ citation needed ]
Most serotypes of E. coli—a widespread species of bacteria residing in the lower intestines of mammals—are beneficial or do not cause disease. Unlike other pathogenic serotypes, such as E. coli O157:H7 (also an enterohemorrhagic E. coli), little is known in detail about the public health significance of O121. Therefore, O121 is sometimes roughly classified as a type of “non-O157 Shiga toxin–producing E. coli ” (non-O157 STEC).[ citation needed ]
A U.S. outbreak of E. coli O121 in 2013 sickened 24 people in 15 states according to a statement released by the CDC.[ citation needed ] New York officials found the bacterium strain in an open package of Farm Rich brand chicken quesadillas from an ill person’s home; parent company Rich Products Corp. of Buffalo, New York is now [ when? ] recalling these and several other items and the CDC, USDA, and FDA are now [ when? ] investigating to find the precise source of the outbreak.
In 2016, General Mills recalled 10 million pounds of wheat flour tied to an E. coli O121 outbreak. [3]
In 2024, the Canadian Food Inspection Agency recalled 365 Whole Foods Market brand of organic carrots from Grimmway Farms due to risk of E. coli O121 contamination. [4] [5]
Escherichia coli ( ESH-ə-RIK-ee-ə KOH-lye) is a gram-negative, facultative anaerobic, rod-shaped, coliform bacterium of the genus Escherichia that is commonly found in the lower intestine of warm-blooded organisms. Most E. coli strains are harmless, but some serotypes such as EPEC and ETEC are pathogenic, can cause serious food poisoning in their hosts and are occasionally responsible for food contamination incidents that prompt product recalls. Most strains are part of the normal microbiota of the gut and are harmless or even beneficial to humans (although these strains tend to be less studied than the pathogenic ones). For example, some strains of E. coli benefit their hosts by producing vitamin K2 or by preventing the colonization of the intestine by pathogenic bacteria. These mutually beneficial relationships between E. coli and humans are a type of mutualistic biological relationship — where both the humans and the E. coli are benefitting each other. E. coli is expelled into the environment within fecal matter. The bacterium grows massively in fresh fecal matter under aerobic conditions for three days, but its numbers decline slowly afterwards.
Escherichia coli O157:H7 is a serotype of the bacterial species Escherichia coli and is one of the Shiga-like toxin–producing types of E. coli. It is a cause of disease, typically foodborne illness, through consumption of contaminated and raw food, including raw milk and undercooked ground beef. Infection with this type of pathogenic bacteria may lead to hemorrhagic diarrhea, and to kidney failure; these have been reported to cause the deaths of children younger than five years of age, of elderly patients, and of patients whose immune systems are otherwise compromised.
Shiga toxins are a family of related toxins with two major groups, Stx1 and Stx2, expressed by genes considered to be part of the genome of lambdoid prophages. The toxins are named after Kiyoshi Shiga, who first described the bacterial origin of dysentery caused by Shigella dysenteriae. Shiga-like toxin (SLT) is a historical term for similar or identical toxins produced by Escherichia coli. The most common sources for Shiga toxin are the bacteria S. dysenteriae and some serotypes of Escherichia coli, which include serotypes O157:H7, and O104:H4.
Hemolytic–uremic syndrome (HUS) is a group of blood disorders characterized by low red blood cells, acute kidney injury, and low platelets. Initial symptoms typically include bloody diarrhea, fever, vomiting, and weakness. Kidney problems and low platelets then occur as the diarrhea progresses. Children are more commonly affected, but most children recover without permanent damage to their health, although some children may have serious and sometimes life-threatening complications. Adults, especially the elderly, may show a more complicated presentation. Complications may include neurological problems and heart failure.
Coliform bacteria are defined as either motile or non-motile Gram-negative non-spore forming bacilli that possess β-galactosidase to produce acids and gases under their optimal growth temperature of 35–37 °C. They can be aerobes or facultative aerobes, and are a commonly used indicator of low sanitary quality of foods, milk, and water. Coliforms can be found in the aquatic environment, in soil and on vegetation; they are universally present in large numbers in the feces of warm-blooded animals as they are known to inhabit the gastrointestinal system. While coliform bacteria are not normally the cause of serious illness, they are easy to culture, and their presence is used to infer that other pathogenic organisms of fecal origin may be present in a sample, or that said sample is not safe to consume. Such pathogens include disease-causing bacteria, viruses, or protozoa and many multicellular parasites. Every drinking water source must be tested for the presence of these total coliform bacteria.
Romaine or cos lettuce is a variety of lettuce that grows in a tall head of sturdy dark green leaves with firm ribs down their centers. Unlike most lettuces, it is tolerant of heat. In North America, romaine is often sold as whole heads or as "hearts" that have had the outer leaves removed and are often packaged together.
The 2006 North American E. coli outbreak was an Escherichia coli O157:H7 outbreak from prepackaged spinach. The outbreak occurred in September 2006, and its origin was an Angus cattle ranch that had leased land to a spinach grower. At least 276 consumer illnesses and 3 deaths have been attributed as a result from the outbreak.
Escherichia coli O104:H21 is a rare serotype of Escherichia coli, a species of bacteria that lives in the lower intestines of mammals. Although there are many serotypes of E. coli, when in animals, there are benefits or do not cause disease. Some serotypes of E. coli have been recognized as pathogenic to humans, e.g. E. coli O157:H7, E. coli O121 and E. coli O104:H21.
Enteroinvasive Escherichia coli (EIEC) is a type of pathogenic bacteria whose infection causes a syndrome that is identical to shigellosis, with profuse diarrhea and high fever. EIEC are highly invasive, and they use adhesin proteins to bind to and enter intestinal cells. They produce no toxins, but severely damage the intestinal wall through mechanical cell destruction.
A novel strain of Escherichia coli O104:H4 bacteria caused a serious outbreak of foodborne illness focused in northern Germany in May through June 2011. The illness was characterized by bloody diarrhea, with a high frequency of serious complications, including hemolytic–uremic syndrome (HUS), a condition that requires urgent treatment. The outbreak was originally thought to have been caused by an enterohemorrhagic (EHEC) strain of E. coli, but it was later shown to have been caused by an enteroaggregative E. coli (EAEC) strain that had acquired the genes to produce Shiga toxins, present in organic fenugreek sprouts.
Escherichia coli O104:H4 is an enteroaggregative Escherichia coli strain of the bacterium Escherichia coli, and the cause of the 2011 Escherichia coli O104:H4 outbreak. The "O" in the serological classification identifies the cell wall lipopolysaccharide antigen, and the "H" identifies the flagella antigen.
Shigatoxigenic Escherichia coli (STEC) and verotoxigenic E. coli (VTEC) are strains of the bacterium Escherichia coli that produce Shiga toxin. Only a minority of the strains cause illness in humans. The ones that do are collectively known as enterohemorrhagic E. coli (EHEC) and are major causes of foodborne illness. When infecting the large intestine of humans, they often cause gastroenteritis, enterocolitis, and bloody diarrhea and sometimes cause a severe complication called hemolytic-uremic syndrome (HUS). Cattle are an important natural reservoir for EHEC because the colonised adult ruminants are asymptomatic. This is because they lack vascular expression of the target receptor for Shiga toxins. The group and its subgroups are known by various names. They are distinguished from other strains of intestinal pathogenic E. coli including enterotoxigenic E. coli (ETEC), enteropathogenic E. coli (EPEC), enteroinvasive E. coli (EIEC), enteroaggregative E. coli (EAEC), and diffusely adherent E. coli (DAEC).
Escherichia coli is a gram-negative, rod-shaped bacterium that is commonly found in the lower intestine of warm-blooded organisms (endotherms). Most E. coli strains are harmless, but pathogenic varieties cause serious food poisoning, septic shock, meningitis, or urinary tract infections in humans. Unlike normal flora E. coli, the pathogenic varieties produce toxins and other virulence factors that enable them to reside in parts of the body normally not inhabited by E. coli, and to damage host cells. These pathogenic traits are encoded by virulence genes carried only by the pathogens.
In 2006, there were several outbreaks of foodborne illness from spinach and lettuce contaminated by E. coli O157:H7.
The 2015 United States E. coli outbreak was an incident in the United States involving the spread of Escherichia coli O157:H7 through contaminated celery which was consumed in chicken salad at various large retailers. A product recall covering more than one dozen states and over 155,000 products has taken place as a result of the incident.
The 2024 United Kingdom shigatoxigenic E. coli outbreak was a Shigatoxigenic Escherichia coli (STEC) O145 outbreak that is believed to have occurred in prepackaged supermarket sandwiches, salads, wraps distributed to and sold in multiple supermarket chains across the United Kingdom such as Aldi, Asda, Co-op, Morrisons, Sainsbury's, WHSmith, and Tesco. As of 27 June 2024, 1 person has died, 211 people were affected by E. coli symptoms, with 67 people requiring hospitalization.
The 2024 McDonald's E. coli outbreak is an ongoing outbreak involving contaminated slivered onions on Quarter Pounders sold at McDonald's stores in 14 U.S. states. At least 104 people have contracted Escherichia coli and one person has died.