XXXX with @entity526 O157:H7 preceding adult @entity1381 .

@entity1 @entity548 @entity4 @entity177 @entity281 @entity1960 @entity1381 @entity2142 @entity526
@entity526 serotype O157:H7 is a rarely identified organism that has recently been associated with @entity548 in all age groups and with the @entity1381 ( @entity1381 ) in @entity1 . We now report the development of @entity1381 in two young @entity1 following enteric @entity281 with @entity526 O157:H7. Both @entity1 were hospitalized because of the severity of their @entity1960 . They later developed major @entity2142 requiring transfusion and significant @entity177 requiring, in one case, hemodialysis. One @entity1 underwent laparotomy, where sterile ascites, marked right colonic @entity4 , and intraserosal @entity548 were noted. Both @entity1 survived and are currently improving. Fecal @entity526 serotype O157:H7 was sought only after routine cultures were negative and features of @entity1381 were recognized. The search for the @entity526 was facilitated by the continued availability of stool cultures obtained early in the course of the illness. The source of @entity281 was not ascertained, but ingestion of untreated water was a feature of both cases. The @entity1381 is a potential complication of the @entity548 associated with @entity526 serotype O157:H7 and may develop in adults as well as @entity1 following enteric @entity281 with this organism.
