|Year : 2016 | Volume
| Issue : 1 | Page : 1-8
Effect of Escherichia coli, Salmonella spp., and Staphylococcus aureus isolated from polluted drainage water on rats
Gamal A Osman1, Medhat M Menshawy PhD 2, Abdel Razik H Farrag3
1 Department of Water Pollution Research, National Research Centre, Dokki, Egypt
2 Department of Cairo and Biology, Center of Basic Sciences, Misr University for Science and Technology, 6th October City, Egypt
3 Department of Pathology, National Research Centre, Dokki, Egypt
|Date of Submission||03-Nov-2015|
|Date of Acceptance||15-May-2016|
|Date of Web Publication||26-Jul-2016|
Medhat M Menshawy
Department of Biology, Center of Basic Sciences and College of Pharmacy, Misr University for Science and Technology, Almotamyez District, 6th October City
Source of Support: None, Conflict of Interest: None
Water pollution not only damages the environment but also kills wildlife. The present study aimed to investigate the effect of Escherichia coli, Salmonella typhi, and Staphylococcus aureus, which were isolated from drainage water at El-Rahawey area, Giza, Egypt, on experimental rats.
Materials and methods
Water samples were collected from the subsurface layer for bacteriological examination, stored in an ice box, and delivered to the laboratory and analyzed to count the total viable bacterial counts/ml using the most probable number technique. The isolated bacteria were given to rats for 21 days at a dose equal to 103/ml and the liver and kidney were dissected for histopathological and histochcemical studies.
Results showed that the average counts at 22 and 37°C were 105 and 106 CFU/ml, respectively, whereas the average counts by using the most probable number technique/100 ml were 105, 104, 103, 103, and 102 for total coliforms, fecal coliforms, E. coli, Salmonellae group, and total staphylococci, respectively. Isolation of pathogens from water sources were identified by using membrane filter technique on specific media. The histopathological examination of the liver of treated rats with E. coli, S. typhi, and S. aureus revealed swollen hepatocytes with decreased sinusoidal spaces and widely distributed necrotic foci. In the kidney, renal tubules showed extensive epithelial swelling with decreased lumen space and generalized necrotic changes with interstitial hemorrhage in renal cortex. The histochemical study indicated the depletion of staining of protein and polysaccharides.
E. coli, S. typhi, and S. aureus that are isolated from polluted drainage water cause histological and histochemical changes in the liver and kidney of rats.
Keywords: drainage water, Escherichia coli, histochemical, histopathological, rats, Salmonella typhi, Staphylococcus aureus
|How to cite this article:|
Osman GA, Menshawy MM, Farrag AH. Effect of Escherichia coli, Salmonella spp., and Staphylococcus aureus isolated from polluted drainage water on rats. J Arab Soc Med Res 2016;11:1-8
|How to cite this URL:|
Osman GA, Menshawy MM, Farrag AH. Effect of Escherichia coli, Salmonella spp., and Staphylococcus aureus isolated from polluted drainage water on rats. J Arab Soc Med Res [serial online] 2016 [cited 2020 May 31];11:1-8. Available from: http://www.new.asmr.eg.net/text.asp?2016/11/1/1/186778
| Introduction|| |
In Egypt, the river Nile is the main source of drinking water, and is also used for various other purposes. It now faces rising sources of pollution despite all the programs for pollution control. Discharging industrial and domestic wastewater, return drainage of irrigated water, and flash flood into the river Nile represent the major sources of pollution . It was found that some sites along the river Nile, such as the El-Rahawy drain, have no accepted parameters for different uses the river is put to . In Egypt, some villagers rear birds in the drain mentioned above, and consequently may infect the water with different types of microorganisms (like bacteria), which may result in the outbreak of diseases in the surrounding human population .
El-Rahawy drain (Giza area, Egypt) is one of the main drains with an outlet to Rosetta branch of the river Nile, and receives considerable wastewater from the greater Cairo area. There are two main sources of pollution that potentially affect and deteriorate the water quality of Rosetta branch: first, the agriculture and the domestic wastes from villages distributed along the drain discharge their wastes without any treatment process; and, second, the wastewater treatment plants, particularly Abu Rawash and Zenein, significantly affect the water quality of the branch .
Water pollution not only damages the environment and kills wildlife but can also sicken and kill people . Water must be safe and free of risk factors. Risk factors related to water pollution are divided into two basic categories: chemical and biological pollutants. Both categories derive from human activity, which inevitably tends to modify water composition with respect to its original state in nature ,.
In the Fayoum governorate, Medani et al. found that gross and histopathological lesions were seen in liver, lung, kidney, and heart.
In their study, Wang et al. noted that subtilase cytotoxin caused extensive microvascular thrombosis and other histologic damage in the brain, kidneys, and liver, as well as dramatic splenic atrophy. Peripheral blood leukocyte levels were increased at 24 h; there was also a significant neutrophil infiltration in the liver, kidneys, and spleen and toxin-induced apoptosis at these sites.
Escherichia More Details coli are bacteria that live in the guts of animals and people, and can be shed in feces, causing serious disease. On the other hand, contamination can also occur through contaminated food and through direct contact with infected animals or people. Infection with E. coli can cause diarrhea and in some cases a severe complication called hemolytic uremic syndrome, which commonly occurs in young children and the elderly ,,.
Salmonellosis More Details, a salmonella infection, is caused by drinking, eating, or coming in contact with objects contaminated with the bacteria. There are many animals that carry Salmonella More Details spp. These include livestock and poultry, reptiles, amphibians, rodents, and even fish in aquariums. Salmonella spp. can cause serious disease, especially in young children, the elderly, and people with weakened immune systems ,,.
In addition, Staphylococcus aureus is a type of bacteria that is resistant to certain antibiotics. It causes skin infections, and infected people and animals can transmit it to each other. Direct skin-to-skin contact is the common way for its spread. People and pets can carry S. aureus on their skin or in their noses and still not show signs of illness. Transmission involving animals is rare compared with person-to-person transmission ,.
Therefore, the present study was designed to evaluate the histopathological and histochemical changes in rats who were given E. coli, Salmonella typhi, and S. aureus isolated from polluted drainage water.
| Materials and methods|| |
Animals were maintained according to National Research Centre Ethics Committee rules and recommendations for experiments on animals. Water samples were collected from the Rosetta branch of the river Nile (mixing point between the El-Rahawy drain and the Rosetta branch) during April 2014 according to American Public Health Association . Samples were collected from the subsurface layer (at depth 30 cm) in stopper polyethylene plastic bottles. Samples collected for bacteriological examination were stored in an ice box and delivered to the Laboratory of the National Research Center for analyses within 2 h.
Using the membrane filter and most probable number (MPN) techniques the tested bacteria (E. coli O157: H7, S. typhi, and S. aureus) were isolated, purified, and identified according to the American Public Health Association  from water samples, as well as using HiMedia (Mumbai, Maharashtra, India). MPN values for the Salmonellae group, S. aureus, E. coli, and coliphage were determined according to American Public Health Association . All detected microorganisms were confirmed by using the membrane filter technique and specific chromogenic media (HiMedia). The bacteria was suspended in a sterile and aqueous buffer solution, provided that the number were 2.1 × 103, 3.2 × 102, 3.5 × 103 and 1.1 × 103 CFU/100 ml for, salmonellae group, Staphylococcus aureus, E. coli, and coliphage, respectively .
The experimental animals
Female albino rats (Laboratory Animal Colonies; National Research Center, Cairo, Egypt) weighing 100–150 g were used in this study. The animals were housed in groups of seven in stainless steel community cages at 25 ± 2°C with a 12 h light–dark cycle, and allowed to acclimatize for a period of 7 days before experimental use. Throughout the experiment, the rats were allowed free access feed (rats dietary pellets prepared by Cairo Company of Oil & Soap, Cairo, Egypt) and water.
The experimental design
Twenty-eight rats were used in the present study and were classified into four groups (seven rats each) as follows.
Group I, which served as the control group; group II, in which the rats were given an oral dose of staph bacteria (103/ml) for 21 days; group III, in which the rats were given an oral dose of Salmonella bacteria (103/ml) for 21 days; and group IV, in which the rats were given an oral dose of E. coli bacteria (103/ml) for 21 days.
At the end of the experiment, liver and kidneys samples were dissected, and then fixed instantaneously in 10% formal saline for 24 h for histopathological and histochemical investigations.
- The histopathological study
The specimens were washed under tap water, dehydrated in ascending grades of ethanol, cleared in xylene, and embedded in paraffin wax (melting point 55–60°C). Sections of 6 μm thicknesses were prepared and stained with hematoxylin and eosin .
- The histochemical studies
- Total proteins: the mercury bromophenol blue method  was used for the histochemical demonstration of total proteins.
- The polysaccharide inclusions: visualization of the polysaccharide materials was carried out using the periodic acid Schiff method (PAS) .
| Results|| |
Bacteriological results of water samples collected from the mixing point between El-Rahawey drain and the Rosetta branch during 2014 are presented in [Table 1]. The data represented showed that the densities of total viable counts at 22 and 37°C in raw Nile water samples were about 105 and 106 CFU/ml, respectively. The total and fecal coliforms were recorded to be 105 and 104 MPN-index/100 ml, respectively.
|Table 1 Counts of classical bacterial indicators [total bacterial counts at 22 and 37°C (CFU/ml)] and coliforms bacteria (MPN-index/100 ml) as well as Salmonella typhi (CFU/ml)|
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In addition, the data demonstrated that, all samples were detected coliforms from all collected water samples. The counts were being 2.1 × 103, 3.2 × 102 and 3.5 × 103 CFU/100 ml for for, salmonellae group, Staphylococcus aureus, and E. coli, respectively.
The results of the histopathological studies of the liver and kidney of treated and untreated rats are shown in [Figure 1] and [Figure 2], respectively. The liver and kidney of the untreated rats showed no visible histological changes [Figure 1]a and [Figure 2]a, respectively).
|Figure 1 Micrographs of liver of (a): control rat liver shows the normal architecture of the hepatic lobule, (b): rat given Staphylococcus bacteria showing the cytoplasm of the hepatocytes has a ground glass and eosinophilic appearance (arrow), dilated sinusoids (short arrows), and lymphocytic infiltration in the portal and periportal areas (arrowheads) is seen, (c) rat given Salmonella bacteria shows apoptosis in the hepatocytes (arrow). Few of the hepatocytes nuclei show karyolysis (short arrows). Notice the activated Kupffer cells (arrowheads), (d) rat given Escherichia coli shows necrosis of the hepatocytes (arrows) around the central vein that appears associated with inflammatory infiltration (short arrows) (hematoxylin and eosin, scale bar: 20 μm).|
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|Figure 2 Micrographs of the cortical tissue of the kidney of (a) control rat shows normal renal corpuscle (arrow) and renal tubules (arrowheads), (b) rat given Staphylococcus bacteria shows degeneration of the glomerulus (arrow) and renal tubules (arrowheads), (c) rat given Salmonella bacteria shows degeneration (arrow) or swollen of the renal tubules (arrowheads), (d) rat given Escherichia coli shows degeneration of the glomerulus (arrow) and renal tubules (arrowheads). Notice swelled renal tubules (short arrow) (hematoxylin and eosin, scale bar: 20 μm).|
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In the liver of the staph-infected rats, there was a glass and eosinophilic appearance cytoplasm, dilated sinusoids, and lymphocytic infiltration in the portal and periportal areas [Figure 1]b. In the kidney, the glomeruli and renal tubules were degenerated [Figure 2]b.
In rats infected with Salmonella bacteria, apoptosis in the hepatocytes was found, and few of the hepatocytes nuclei showed karyolysis. The activated Kupffer cells were noticed [Figure 1]c. In the kidney, degeneration or swelling of the renal tubules and multiple foci of hemorrhage in the interstitium were found [Figure 2]c.
On the other hand, E. coli showed necrosis of the hepatocytes around the central vein, which appears associated with inflammatory infiltration [Figure 1]d. Infection with E. coli revealed degeneration of the glomeruli and renal tubules. Swollen renal tubules were also detected [Figure 2]d.
Examination of the sections of the liver and kidney of the control rats displayed the normal distribution of proteinic inclusions as grayish blue irregular particles in both cytoplasms and nuclei [Figure 3] and [Figure 4] [Figure 3]a and [Figure 4]a, respectively).
|Figure 3 Sections of liver of (a) control rat shows the proteinic contents in irregular particles of various sizes that are equally distributed in the cytoplasm of the liver cells, (b) rat on a daily, oral dose of Staphylococcus bacteria shows the relatively diffused staining of the proteinic inclusions in both cytoplasm and nuclei, (c) rat on a daily, oral dose of Salmonella bacteria shows a marked diminution of the proteinic inclusions in many liver cells. Notice that the staining is mostly diffused, and (d) rat administered with of a single dose of Escherichia coli bacteria shows relatively few proteinic inclusions in the hepatocytes (bromophenol blue reaction, scale bar 20 μm).|
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|Figure 4 Sections of the kidney of a (a) control rat shows the normal distribution of protein inclusions in the renal corpuscles and tubules, (b) a rat on a daily, oral dose of staph bacteria shows that the proteinic inclusions display faint blue staining in the glomerulus and exhibit diffused staining in most of the tubules; (c) rat on a daily, oral dose of Salmonella bacteria shows the proteinic inclusions with diminution and acquiring pale staining in the renal tubules and glomeruli, (d) rat given a single dose of Escherichia coli bacteria shows the distribution of the proteinic inclusions that display marked decrease in the cells of the renal tubules; many cells appeared almost unstained (bromophenol blue reaction, scale bar 20 μm).|
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Daily treatment with an oral dose of staph bacteria for 21 consecutive days revealed relative diffusion of the staining of the proteinic content in the hepatocytes [Figure 3]b. In the kidney, the proteinic inclusions displayed faint blue staining in the glomeruli and exhibited diffused staining in most of the cells of both proximal and distal convoluted tubules [Figure 4]b.
In rats administrated with Salmonella bacteria for 21 successive days, the proteinic inclusions showed marked diminution in many liver cells and the staining was mostly diffused [Figure 3]c. In the kidney, the protein inclusions of some proximal and distal convoluted tubules acquired a pale staining. However, the degenerated glomeruli exhibited dense stainability [Figure 4]c.
After 21 days of oral administration of E. coli bacteria, the proteinic particles in the liver cells were relatively few in number in both cytoplasm and nuclei. Most of the liver cells showed almost normal staining [Figure 3]d. In case of the kidney, marked decrease in the proteinic inclusions of the cells of the renal tubules and many of these cells appeared almost unstained [Figure 4]d.
Examination of the liver and kidney sections of control rats showed the abundance of polysaccharide materials (glycogen) in the hepatocytes and glomeruli and the lining cells of the renal tubules. The nuclei gave negative result on PASs reaction, indicating the absence of polysaccharides [Figure 5] and [Figure 6] [Figure 5]a and [Figure 6]a.
|Figure 5 Sections of liver of (a) control rat showing the abundance of glycogen in the cell of the hapatic lobule, (b) liver of rat daily receiving an oral dose of Staphylococcus bacteria shows the polysaccharides inclusions that displayed diffuse staining. A few number of the hepatocytes display dense staining, (c) liver of a rat on a daily, oral dose of Salmonella bacteria shows faint homogeneous staining of the polysaccharide inclusions, and (d) liver of a rat receiving a single oral dose of Escherichia coli bacteria shows marked depletion of the polysaccharide inclusions (PAS/H, scale bar 20 μm). PAS/H, periodic acid Schiff/hematoxylin.|
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|Figure 6 Sections of kidney of (a) control rat showing the normal distribution of the polysaccharide inclusions in the renal corpuscles, the basement membrane of the proximal and distal convoluted tubules, and the brush border of the proximal convoluted tubules, (b) rat on an oral dose of Staphylococcus bacteria shows marked diminution in PAS reaction in the basement membranes of the distal and proximal convoluted tubules and the brush borders of the proximal convoluted tubules and in the glomerulus, (c) rat on an oral dose of Salmonella bacteria shows heterogeneous staining of the cortical tissues. Notice the glomerulus displayed strong staining. The degenerated tubules are devoid of stainable materials and the healthy show strong reaction in their brush borders and basement membranes, and (d) rat on an oral dose of Escherichia coli bacteria shows a moderate and weak reaction of PAS-positive materials in the glomerulus and renal tubules, respectively (PAS/H, scale bar 20 μm). PAS/H, periodic acid Schiff/hematoxylin.|
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Administration of oral dose of staph bacteria revealed diffuse stainability of the positive PAS materials of the hepatocytes. A few hepatocytes displayed dense stainability than did the others [Figure 5]b). Kidney sections showed marked diminution in PAS-positive materials in the basement membranes of the renal tubules and the brush borders of the proximal convoluted tubules. The glomeruli showed a picture, which was more or less similar to that obtained from the control rats [Figure 6]b).
In rats infected with Salmonella bacteria, faint homogeneous stainability of the polysaccharide inclusions in the hepatocytes was present [Figure 5]c. In the kidney, PAS-positive materials displayed weak stainability in the parietal and visceral layers of Bowman's capsules and the glomeruli. The polysaccharide inclusions in the tubules showed heterogeneous stainability where the degenerated tubule cells were weakly stained, whereas the necrotic ones were devoid of stainable materials. A moderate to strong reaction in the brush borders of the healthy cells was also observed [Figure 6]c.
In the liver of rats given an oral dose of E. coli bacteria, the polysaccharide inclusions showed marked depletion of the polysaccharide inclusions [Figure 5]d. Examination of the kidney showed moderate and weak PAS-positive material in the glomeruli and the renal tubules, respectively. Heterogeneous staining was encountered in the cells of the lining of the renal tubules; the degenerated cells were weakly stained, whereas the necrotic cells were devoid of stainable inclusions [Figure 6]d.
| Discussion|| |
The indicator bacteria level in drainage water is a common problem in rural areas that often leads to impairment of human consumption. Our bacteriological analyses revealed that drainage water was contaminated with coliforms and some pathogens like E. coli, Salmonella spp., and S. aureus. In this study, water samples were found to have high total viable bacterial counts (105 and 106 at 22 and 37°C, respectively). These counts were not in agreement with those obtained by Sabae and Rabeh . Osman et al. found that the counts were around 107 CFU/ml for both 37 and 22°C in the samples from the Damietta branch of the river Nile and from the Giza district, respectively. On the other hand, Ezzaat et al. found that the log total viable bacterial counts at 22°C fluctuated between 103 and 106 CFU/ml and from 104 to 106 CFU/ml at 37°C at 10 sites of the Rosetta branch.
Similarly, the findings of this study were in agreement with that of a study by El-Leithy , who demonstrated that the average values of total viable bacterial counts at 37 and 22°C were 1.0 × 105 and 1.4 × 105 CFU/ml, respectively, in the water samples collected from 10 sites along the Rosetta branch of the river Nile.
Findings of this study, investigating total and fecal coliforms, were nearly replicated in a study by Kumarasamy et al., in samples collected from the Cauvery river, South India, in which they found that total coliforms were about 105/100 ml. On the other hand, the results in this investigation were higher than those obtained by Shash et al., who reported that the total and fecal coliforms were detected in Nile water in Greater Cairo in 100% of the tested samples, reaching 104 and 103 CFU/100 ml, respectively. In addition, the results were lower than those obtained by Osman et al., who found that in the samples from the river Nile in the Giza area, Egypt, the total and fecal coliforms were 104 and 102 MPN-index/100 ml, respectively. The results were in agreement with that of a study by El-Leithy , who reported the total and fecal coliform counts to be 5.8 × 104 and 3.3 × 104 MPN-index/100 ml, respectively, in the Rosetta branch of the river Nile.
Data demonstrated that, in Egypt, the total viable bacteria and coliforms bacteria at the mixing point between the El-Rahawey drain and the Rosetta branch were higher than that in other sites along the river Nile. This phenomenon is due to human activity. Moreover, Niemi and Niemi  reported that domestic and industrial wastewater and agriculture wastage are the chief sources of fecal bacteria into rivers. In addition, Geldreich et al. reported that the outbreaks of water-borne diseases can be attributed to the consumption of E. coli O157: H7-contaminated water. In addition, Pant  reported that WHO estimates that 80% of all diseases in the world can be attributed to inadequate potable water supplies and poor sanitation. In Egypt, El-Jakee et al. found that E. coli isolated from different water sources causes human and animal infections and some diseases common to both. Moreover, Khalifa and Sabae  reported that the Rosetta branch and the indicator bacteria of pollution exceeded the acceptable levels at some sites.
Moreover, in this investigation, the detected and enumerated fecal coliforms indicated the presence of pathogenic bacteria like E. coli, Salmonella spp., and S. aureus,.
The obtained results about S. aureus are in agreement with those obtained by El-Taweel and Shaban , who estimated the count of S. aureus as 104 CFU/100 ml in raw Nile water samples from a branch point in Egypt. In addition, Mostafa et al. detected and enumerated S. aureus at the Rosetta branch of the river Nile, and it flocculated between 102 to 105 CFU/100 ml. In a similar study, Yehia and Sabae  found that the density of total staphylococci in the Damietta branch at the end of the river Nile ranged from 104 to 106 CFU/100 ml. In addition, these results were in agreement with those obtained by Sayed , who counted S. aureus in water samples at the Roseatta branch of the river Nile during summer months, and found it to be 104.
In this respect, the results as regards Salmonella spp. are in agreement with those obtained by El-Leithy , who found that the count of Salmonella spp. ranged from 102 to 104 MPN-index/100 ml in the main river Nile along the sites in Cairo, from Helwan in the south to El-Glatma in the north. Moreover, in their study, El-Taweel et al. reported the total count of Salmonella spp. to be103 MPN-index/100 ml in the Rosetta branch of the Rive Nile.
In Egypt, some villagers rear birds in the drains mentioned previously and consequently may be responsible for infecting the water with different types of microorganisms (like bacteria), as well as for the outbreak of diseases in the surrounding human population .
In the present study, the liver of the rats infected with the staph group, Salmonella spp. or E. colli showed a glass and eosinophilic cytoplasm, dilated sinusoids, lymphocytic infiltration in the portal and periportal areas, apoptosis in and necrosis of the hepatocytes. These results were confirmed by the results obtained by Pooneh et al. in rats, and by Ajibade and Famurewa  in rabbits infected with S. typhi bacteria. Cater et al. showed these changes with E. coli. In the liver, hepatocytes were swollen with decreased sinusoidal spaces, and widely distributed necrotic foci were seen .
In rats infected with Salmonella bacteria, degeneration or swelling of the renal tubules associated with foci of hemorrhage in the interstitium of the renal tubules were found in rabbits. There were few foci of tubular necrosis and presence of hyaline casts with interstitial cellular infiltration by macrophages . In addition, in a study by Ajibade and Famurewa, renal tubules showed extensive epithelial swelling with decreased lumen space and generalized necrotic changes with interstitial hemorrhage in the renal cortex . On the other hand, no specific change in the kidney was observed in E. coli-infected broiler chicks .
The present study indicated that the administration of the used types of bacteria show a reduction in the polysaccharides and total protein contents in the liver and kidney of rats. These results were supported with histopathological results of the current study.
The mild diffuse inflammation that occurred in liver may be due to the endotoxin of bacteria, which leads to changes of the cells morphology . The extensive epithelial swelling in renal tubules with decreased lumen space and necrotic changes with hemorrhage may be due to α and β – hemolysis that causes lysis of the renal cells . The decrease in the sinusoidal spaces and focal necrosis may be due to E. coli infection as displayed in the hepatic cells in case of all bacterial infections ; moreover, there is hemorrhagic areas, which may be caused by intravascular hemolysis by toxin produced from E. coli causing vascular damage .
| Conclusion|| |
The oral administration of E. coli, Salmonella spp., and S. aureus isolated from polluted drainage water caused histological and histochemical alterations in the kidney and liver of rats.
Conflicts of interest
There are no conflicts of interest.
| References|| |
Shamrukh M, Abdel Wahabe A. Ray C, Shamrukh M. Water pollution and riverbank filtration for water supply along river Nile, Egypt. Riverbank filtration for water security in desert countries series.. Cairo, Egypt:NATO Science for Peace and Security Series C-Environmental Security; 2011. 5–28.
El-Leithy MA. Molecular detection and characterization of some pathogenic bacteria in water [PhD]. Cairo, Egypt:Microbiology Department, Faculty of Science, Ain Shams University; 2013.
Kloos H, David R. The paleoepidemiology of schistosomiasis in ancient Egypt. Hum Ecol Rev 2002; 9:14–25.
El-Bouraie MM, Motawea EA, Mohamed EG, Tehia MM. Water quality of Rosetta branch in Nile Delta. Suoseura 2011; 62:31–37.
EPARegion 10 community relations and outreach. Seattle, WA:EPA; 2000.
Grabow WOK. Waterborne diseases: update on water quality assessment and control. Water SA 1996; 22:193–202.
Payment P, Siemiatycki J, Richardson L, Renaud G, Prevost M. A prospective epidermislogical study of gastrointestinal health effects due to the consumption of drinking water. Int J Environ Hlth Res 1997; 7:5–31.
Medani GG, Amina D, Sobhy NM. Bacterilogical mycological and histopathological studies on zoo birds from respiratory manifestations. Benha Vet Med J 2004; 15:172–192.
Wang H, Paton JC, Paton AW. Pathologic changes in mice induced by subtilase cytotoxin, a potent new Escherichia coli AB5 toxin that targets the endoplasmic reticulum. J Infect Dis 2007; 196:1093–1101.
Moxley RA. Escherichia coli 0157:H7: an update on intestinal colonization and virulence mechanisms. Anim Health Res Rev 2004; 5:15–33.
Baker DR, Moxley RA, Steele AB, Lejeune JT, Hennings JC, Chen DG et al.
Difference in virulence among Escherichia coli O157:H7 strains isolated from humans during disease outbreaks and healthy cattle. Appl Environ Microbiol 2007; 23:7338–7346.
Schoenian S. Diarrhea (Scours) in small ruminants. small ruminant fact sheet. University of Maryland; 2008.
WHO. Guidelines for drinking water quality 4th edition; 2011.
Degbey C, Makoutode M, Agueh V, Dramaix M, de Brouwer C. Factors associated with the quality of well water and the prevalence of waterborne diseases in the municipality of Abomey-Calavi in Benin. Sante 2011; 21:47–55.
Dekker DM, Krumkamp R, Sarpong N, Frickmann H, Boahen KG, Frimpong M et al.
Drinking water from dug wells in rural Ghana – Salmonella contamination, environmental factors, and genotypes. Int J Environ Res Public Health 2015; 12:3535–3546.
Ziebuhr W. Staphylococcus aureus and Staphylococcus epidermidis: emerging pathogens in nosocomial infections. Contrib Microbiol 2001; 8:102–107.
Otto M. Staphylococcus epidermidis – the ‘accidental’ pathogen. Nat Rev Microbiol 2009; 7:555–567.
American Public Health Association. Standard methods for the examination of water and wastewater, 22nd edition; 2012.
Drury RAB, Wallington EA. Drury RAB, Wallington EA. Preparation and fixation of tissues. Carleton's histological technique.. Oxford, UK:Oxford University Press; 1980. 41–54.
Mazia D, Brewer PA, Afert M. The cytochemical staining and measurement of protein with the mercuric bromophenol blue. Biol Bull 1955; 104:57–67.
McManus JFA. Histological demonstration of mucin after periodic acid. Nature 1946; 158:202.
Sabae SZ, Rabeh SA. Evaluation of microbial quality of the Nile river water at Damietta branch, Egypt. Egypt J Aqu Res 2007; 33:301–311.
Osman GA, Kamel MM, Hassan HM, Al-Herrawy AZ. Microbial quality of Nile water and drinking water in some areas of Greater Cairo, Egypt. Aust J Basic Appl Sci 2011; 5:1328–1334.
Ezzat SM, Mahdy HM, Abo-State MA, Abd El Shakour EH, El-Bahnasawy MA. Water quality assessment of river Nile at Rosetta branch: impact of drains discharge. Middle-East J Sci Res 2012; 12:413–423.
Kumarasamy P, Vignesh S, Arther James R, Muthukumar K, Rajendran A. Enumeration and identification of pathogenic pollution indicators in Cauvery river, South India. Res J Microbiol 2009; 12:540–549.
Shash MS, Kamel MM, Al-Wasify RS, Samhan FA. Rapid detection and enumeration of coliforms and Escherichia coli in river Nile using membrane filtration technique. Environ Biotechnol 2010; 6:6–10.
Niemi RM, Niemi JS. Bacterial pollution of waters in pristine and agricultural lands. J Environ Qual 1991; 20:620–627.
Geldreich EE, Fox KR, Goodrich JA, Rice EW, Clark RM, Swerdlow DL. Searching for a water supply connection in the Cabool, Missouri disease outbreak of Escherichia coli O157:H7. Water Res 1992; 626:1127–1137.
Pant PR. Tailored media for the detection of E. coli and coliforms in the water sample. J Tribhuvan Uni 2004; 24:49–54.
El-Jakee J, Moussa EI, Mohamed KF, Mohamed G. Using molecular techniques for characterization of Escherichia coli isolated from water sources in Egypt. Global Veterinaria 2009; 3:354–362.
Khalifa N, Sabae S. Seasonal variation and interaction between Rosetta Branch, river Nile, Egypt. Aust J Basic Appl Sci 2013; 7:752–762.
WHOGuidelines for drinking water quality. 3th ed.Geneva, Switzerland:WHO; 2008.
El-Taweel GE, Shaban AM. Microbiological monitoring and evaluation of river Nile water at Cairo segment and Ismailia canal. Egypt J Microbiol 2003; 38:169–182.
Mostafa SA, Hewedy MA, Toullbah HE, Ashour SM, Abdullah SA. Comparative study among micro-flora in El-Manzala lake water and Rashid (Roseatta) estuary of river Nile, Egypt. Pak J Biolog Sci 2009; 6:671–679.
Yehia HM, Sabae SZ. Microbial pollution of water in El-Salam canal, Egypt. Am Eurasian J Agric Environ Sci 2011; 11:305–309.
Sayed SA. Microbiological studies and their relation to physicochemical characteristics of different water sources [PhD thesis]. Cairo, Egypt:Faculty of Agriculture, Al-Azhar University; 2014.
El-Leithy MA. Comparative studies between different methods for detection and enumeration of some pathogenic bacteria from different aquatic environments [Master Thesis]. Cairo, Egypt:Botany Department, Faculty of Science, Cairo University; 2009.
El-Taweel GA, Moussa TA, Samhan FA, Al-Senousy WM, El-Leithy MA. Nested PCR. Nested PCR and conventional techniques for detection of Salmonella spp. in river Nile water, Egypt Egyptian J Microbiol 2010; 45:63–76.
Langevin SA, Bunning M, Davis B, Komar N. Experimental infection of chickens as candidate sentinels for West Nile virus. Emerg Infect Dis 2001; 7:726–729.
Rahimi P, Sohrabi A, Ashrafihelan J, Edalat R, Alamdari M, Masoudi M et al.
Emergence of African swine fever virus, northwestern Iran. Emerg Infect Dis 2010; 16:1946–1948.
Ajibade VA, Famurewa O. Histopathological and toxicological effects of crude saponin extract from Phyllanthus niruri, L (Syn. P. franternus, Webster) on organs in animal studies. Global J Med Res 2012; 12:31–38.
Cater AO, Borczyk AA, Carlson JAK. A severe outbreak of Escherichia coli O157:H7-associated hemorrhagic colitis in anursing home. N Engl J Med 1987; 317:1496.
Al Zanfely H, Z falh S. The effect of experimental Escherichia coli infection on some blood parameters and histological changes in male rats. The Iraqi J Vet Med 2011; 35:22–27.
Kumar A, Jindal N, Shukla CL, Asrani RK, Ledoux DR, Rottinghaus GE. Pathological changes in broiler chickens fed ochratoxin A and inoculated with Escherichia coli. Avian Pathol 2004; 33:413–417.
Knutton S, Baldwin T, Williams PH, McNeish AS. Actin accumulation at sites of bacterial adhesion to tissue culture cells: basis of a new diagnostic test for enteropathogenic and enterohemorrhagic Escherichia coli. Infect Immun 1989; 57:1290–1298.
Justice SS, Hunstad DA, Seed PC, Hultgren SJ. Filamentation by Escherichia coli subverts innate defenses during urinary tract infection. Proc Natl Acad Sci USA 2006; 103:19884–19889.
Griffin PM, Olmstead LC, Petras RE. Escherichia coli O157:H7-associated colitis. A clinical and histological study of 11 cases. Gastroenterology 1990; 99:142–149.
[Figure 1], [Figure 2], [Figure 3], [Figure 4], [Figure 5], [Figure 6]