2016
DOI: 10.1128/ecosalplus.esp-0015-2015
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Human Meningitis-Associated Escherichia coli

Abstract: E. coli is the most common Gram-negative bacillary organism causing meningitis and E. coli meningitis continues to be an important cause of mortality and morbidity throughout the world. Our incomplete knowledge of its pathogenesis contributes to such mortality and morbidity. Recent reports of E. coli strains producing CTX-M-type or TEM-type extended-spectrum β-lactamases create a challenge. Studies using in vitro and in vivo models of the blood-brain barrier have shown that E. coli meningitis follows a high-de… Show more

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Cited by 74 publications
(59 citation statements)
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References 110 publications
(191 reference statements)
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“…The incidence of bacterial meningitis is about five cases per 100,000 adults per year in developed countries and may be 10 times higher in less developed countries [2]. It estimates that the case fatality rates of the disease range from 5%-25%, and approximately 25%-50% of survivors sustain neurologic sequelae [3]. The blood-brain barrier (BBB) is composed of highly specialized brain microvascular endothelial cells (BMECs), pericytes, and astrocyte endfeet, separates brain tissue from the circulating blood, and maintains homeostasis of the neuronal environment [4][5][6].…”
Section: Introductionmentioning
confidence: 99%
“…The incidence of bacterial meningitis is about five cases per 100,000 adults per year in developed countries and may be 10 times higher in less developed countries [2]. It estimates that the case fatality rates of the disease range from 5%-25%, and approximately 25%-50% of survivors sustain neurologic sequelae [3]. The blood-brain barrier (BBB) is composed of highly specialized brain microvascular endothelial cells (BMECs), pericytes, and astrocyte endfeet, separates brain tissue from the circulating blood, and maintains homeostasis of the neuronal environment [4][5][6].…”
Section: Introductionmentioning
confidence: 99%
“…NMEC is the leading Gram-negative cause of neonatal meningitis cases (Kim, 2016), while UPEC strains are responsible for 75–90% of uncomplicated UTIs and are the leading cause of catheter-associated UTIs (Foxman, 2014; Becknell et al, 2015). In addition, UTIs are a leading cause of E. coli bacteremia (Jackson et al, 2005; Al-Hasan et al, 2010).…”
Section: Diseases In Animals and Humans Caused By Expecsmentioning
confidence: 99%
“…Findings on MNEC indicate that the infection starts as a blood infection and then gains access to the central nervous system. A majority of MNEC possess the K1 capsular antigen, and there is a high rate of mortality from the meningitis [12]. This chapter will focus on the six intestinal and the UPEC strains.…”
Section: Pathogenic Strains Of Escherichia Colimentioning
confidence: 99%