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Enteropathogenic Escherichia coli ( EPEC ) Causes Chronic Diarrhea and Hyponatremia in an Adult

Year: 2025
Type: article
Study design: Case Report
Abstract: (EPEC) is frequently identified on gastrointestinal pathogen multiplex polymerase chain reaction testing. However, it is unclear whether EPEC causes diarrhea in adults. We describe the case of a 48-year-old man living in the United States who presented with 6 weeks of large-volume watery diarrhea and significant hyponatremia refractory to hypertonic saline and fluid restriction, who was found to have EPEC. Ciprofloxacin was initiated, resulting in the resolution of both diarrhea and hyponatremia. This case demonstrates that EPEC can be pathogenic in adults and can be associated with significant hyponatremia.
Language: English
Subfield: Endocrinology
Open Access status: gold
Estimated APC paid: $1,820
OpenAlex ID: W4408950805
FWCI: 2.259
Cites: 9
Cited by: 4
Related to: 10