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dehydration. Patients with HC may develop organism grows well in water activity around
more severe life-threatening complications 0.99, with a minimum at 0.95.
such as HUS or TTP. HUS symptoms are Outbreaks of E. coli O157 : H7 have been
characterized by microangiopathic hemolytic reported from water, meat, poultry, dairy
anemia (pallor, intravascular destruction of products, salad, apple cider, and even fer-
red blood cells), thrombocytopenia (depressed mented meats and mayonnaise. Detection
platelet counts), and acute renal failure that methods include conventional culture pro-
may lead to death. TTP affects mostly adults cedures designed specifically for E. coli
and is a rare syndrome of E. coli O157 : H7 O157 : H7, a variety of diagnostic kits, sero-
infection. It causes neurological abnormali- logic tests, ELISA. PCR, and Ribotyping.