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Abstract
Lumish
RM, Ryder RW, Anderson DC, Wells JG, Puhr ND. "Heat-labile
enterotoxigenic Escherichia coli induced diarrhea aboard a Miami-based
cruise ship," American
Journal of
Epidemiology, 1980,
111:4 (Apr), 432-6
Beginning in late December,
1975, almost one-third of the
passengers on two successive cruises of a Miami-based cruise ship noted
the onset of diarrheal illness while on board. A single serotype of
Escherichia coli that produced heat-labile enterotoxin without
producing heat-stable enterotoxin was recovered from the stool of most
ill passengers cultured. Epidemiological investigation could not
specifically define the mode of spread. The clinical picture presented
was similar to the illness caused by enterotoxigenic E. coli that
produce only heat-stable enterotoxin or that produce heat-stable and
heat-labile enterotoxins.
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