There are many types of E. coli, and most of them are harmless. But some can cause bloody diarrhea. Some strains of E. coli bacteria (such as a strain called o157:H7) may also cause severe anemia or kidney failure, which can lead to death. Other strains of E. coli can cause urinary tract infections or other infections.
Symptoms which may include: abdominal cramping. sudden, severe watery diarrhea that may change to bloody stools. gas. loss of appetite/nausea. vomiting (uncommon) fatigue. fever. Diagnosis: The bacteria may be cultured to confirm the diagnosis and identify specific toxins, such as those produced by E. coli O157:H7. Infection with E. coli O157:H7 or other Shiga toxin-producing E. coli is usually confirmed by the detection of the bacteria in a stool specimen from an infected individual.
Treament: Rest and Fluids to help prevent dehydration and fatigue. Avoid taking an anti-diarrheal medication — this slows your digestive system down, preventing your body from getting rid of the toxins. Antibiotics generally aren't recommended because they can increase the risk of serious complications.
Epidemiology: The scarcity of information conveyed by the nonculture tests routinely used in Germany to diagnose STEC made linkage of post-outbreak cases to the outbreak difficult. Though post-outbreak surveillance demonstrated the outbreak strain’s potential for lengthy chains of transmission aided by prolonged shedding, our results and continued routine surveillance until the end of 2013 do not support the notion, that the outbreak strain has been able to establish itself in the German environment.