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Diagnosis of enteropathogenic escherichiosis
Last reviewed: 04.07.2025
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Enteropathogenic escherichiosis can be suspected only in typical forms of the disease based on gradually increasing toxicosis with exicosis, pronounced pallor of the skin, infrequent but persistent vomiting (or regurgitation), bloating (flatulence), frequent, profuse, watery stools with a small admixture of transparent mucus, yellow or orange feces.
The leading diagnostic method is bacteriological. The patient's feces, sometimes mucus from the oropharynx, vomit, gastric lavage, and cerebrospinal fluid are taken for testing. The material is taken with a sterile swab from diapers or from a potty. Sowing is done on conventional nutrient media (Endo, Levin, etc.). Positive results in bacteriological testing do not exceed 50-60%. The luminescent method of testing allows you to get an approximate result in just a few hours.
Serological methods of research in newborns and children of the first months of life, as a rule, give a negative result. RIGA in children from the second half of the year of life has practical significance only with an increase in the titer of specific antibodies in the dynamics of the disease.
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