Joshua M. Rounds
, Carrie E. Rigdon, Levi J. Muhl, Matthew Forstner, Gregory T. Danzeisen, Bonnie S. Koziol, Charlott Taylor, Bryanne T. Shaw, Ginette L. Short, and Kirk E. Smith
Author affiliations: Minnesota Department of Health, St. Paul, Minnesota, USA (J.M. Rounds, B.S. Koziol, C. Taylor, G.L. Short, K.E. Smith); Minnesota Department of Agriculture, St. Paul USA (C.E. Rigdon, L.J. Muhl, M. Forstner, G.T. Danzeisen, B.T. Shaw)
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Abstract
We investigated an outbreak of non-O157 Shiga toxin–producing Escherichia coli at a high school in Minnesota, USA, in November 2010. Consuming undercooked venison and not washing hands after handling raw venison were associated with illness. E. coli O103:H2 and non-Shiga toxin–producing E. coli O145:NM were isolated from ill students and venison.
Non-O157 Shiga toxin–producing
Escherichia coli (STEC) are emerging pathogens (
1,2) but are underrecognized because relatively few clinical laboratories routinely use culture-independent testing methods necessary for their identification (
3,4). Ruminants (e.g., cattle, goats) can be colonized by non-O157 STEC and are reservoirs of these organisms. Non-O157 STEC outbreaks have been associated with contaminated food and recreational water and with direct contact with infected animals or humans (
2,4,5). However, much is still unknown about sources and risk factors for non-O157 STEC infection.
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