Enterotoxigenicity of colonising coliform bacteria in tropical sprue and blind-loop syndrome

Lancet. 1978 Aug 12;2(8085):342-4. doi: 10.1016/s0140-6736(78)92942-2.

Abstract

The enterotoxigenicity of strains of Klebsiella pneumoniae, Enterobacter cloacae, and Escherichia coli, which represented the predominant coliform species isolated from the jejunum of 12 patients with tropical sprue and 5 with the blind-loop syndrome, was quantitatively assessed in terms of the ability of toxin preparations to induce water secretion as assayed by in-vivo perfusion in the rat jejunum. All 12 patients with sprue harboured 1 or more highly toxigenic strains--14 of the 16 strains isolated from this group produced heat-labile and/or heat-stable toxins which were as potent as toxins derived from strains isolated from persons with acute diarrhoea and documented as toxigenic. None of the 9 strains isolated from patients with the blind-loop syndrome produced potent toxins. This difference between the coliform bacteria in sprue and the blind-loop syndrome probably accounts, at least partly, for the different intestinal response in these two disorders to contamination by these organisms.

Publication types

  • Comparative Study
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Acute Disease
  • Adult
  • Animals
  • Blind Loop Syndrome / microbiology*
  • Diarrhea / etiology
  • Enterobacter / metabolism
  • Enterobacter / pathogenicity*
  • Enterobacteriaceae / pathogenicity*
  • Enterotoxins / biosynthesis*
  • Escherichia coli / metabolism
  • Escherichia coli / pathogenicity*
  • Humans
  • Jejunum / microbiology
  • Klebsiella pneumoniae / metabolism
  • Klebsiella pneumoniae / pathogenicity*
  • Rats
  • Sprue, Tropical / microbiology*

Substances

  • Enterotoxins