Sir, the present public health problem to be concerned is the E. coli outbreak in Europe. This problem started in Germany and extended widely. The main presentation of E. coli infection is diarrhea. However, the other non-diarrhea symptoms are also mentioned. Focusing on eye manifestations, the conjunctivitis is a topic to be focused. Indeed, E. coli is confirmed as an important cause of conjunctivitis in many animals.1 However, in human beings, the same problem can be seen. In the pediatric population, which is also the vulnerable group to E. coli infection, the report confirms the E. coli induced conjunctivitis. Focusing on a report by Gosh et al, the E. coli was the most common pathogen causing neonatal conjunctivitis.2 The outbreak of E. coli induced conjunctivitis has also ever been reported in pediatric ward.3 Focusing on the present outbreak, the concern on eye manifestations as a new sign of emerging of E. coli infection should be kept in mind.
Viroj Wiwanitkit, MD
1. Cheville NF, Tappe J, Ackermann M, Jensen A. Acute fibrinopurulent blepharitis and conjunctivitis associated with Staphylococcus hyicus, Escherichia coli, and Streptococcus sp. in chickens and turkeys. Vet Pathol 198825(5):369-75.
2. Ghosh S, Chatterjee BD, Chakraborty CK, et al. Bacteria in surface infections of neonates. J Indian Med Assoc 199593(4):132-5.
3. Quinet B, Mitanchez D, Salauze B, et al. [Description and investigation of an outbreak of extended-spectrum beta-lactamase producing Escherichia coli strain in a neonatal unit]. Arch Pediatr 201017 Suppl 4:S145-9.