Doctor's Data Inc

Shiga Toxins, stool

Scientists have identified more than 150 shiga-toxin producing E. coli, which are associated with severe abdominal cramping, watery or bloody diarrhea, low-grade fever, vomiting and hemorrhagic colitis, which could progress to hemolytic uremic syndrome (HUS), an important cause of acute renal failure in children and morbidity and mortality in adults. This test detects 100% of the serotypes produced by pathogenic strains of E. coli, including E. coli O157:H7.
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Turnaround Time

5 to 7 days

Analytes Tested

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Analyte CPT ABN Required
Shiga Toxins; stool 87427 No

List price applies when filing with insurance or Medicare, or when billing a patient directly.

Prompt payment pricing applies when billing to a physician account or prepayment is received with the test.

Doctor's Data offers profiles containing multiple analytes. *Multiple analytes may be billed under a single CPT code. Many analytes can be ordered individually. Pricing may vary. Click on a specific analyte for more information or read our detailed billing and payment policies.

The CPT codes listed on our website are for informational purposes only. This information is our interpretation of CPT coding requirements and may not necessarily be correct. You are advised to consult the CPT Coding Manual published by the American Medical Association. Doctor's Data, Inc. takes no responsibility for billing errors due to your use of any CPT information from our website.

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This test is useful for

  • E. coli Symptoms: Cramping, Diarrhea, Fever, Vomiting
  • Hemorrhagic Colitis
  • Hemolytic Uremic Syndrome

Detailed Information

Shiga toxins are a family of related toxins with two major groups, Stx1 and Stx2 which are produced by S. dysenteriae and the Shigatoxigenic group of Escherichia coli (STEC). Pathogenic STEC are associated with severe abdominal cramping, watery or bloody diarrhea, low-grade fever, vomiting and more serious outbreaks of life-threatening hemorrhagic colitis and hemolytic uremic syndrome leading to kidney failure. This test detects 100% of the serotypes produced by pathogenic strains of E. coli, including E. coli O157:H7.

STEC is a major cause of sporadic cases of disease as well as serious outbreaks worldwide. Major transmission modes include contaminated food or water, person-to-person spread in nursing homes, day care centers or other settings, or animal-to-person contact. The most common sources of infection by STEC include undercooked beef and beef products, as cattle are major carriers. Other wild and domestic animals, including birds, can also carry these bacteria. STEC and its Shiga toxins can be destroyed by heat. Food-borne outbreaks have been traced back to undercooked hamburgers, unpasteurized fruit juices, salad bars, salami and unpasteurized milk. STEC strains are usually self-limiting, lasting an average of about eight to ten days

Clinical Microbiology

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