“…It was hypothesized that acquisition and/or expression of particular virulence factors led to the emergence of BPF strains (3, 4), but the exact mechanism(s) behind the transition from causing conjunctivitis to causing severe invasive disease was never elucidated. However, a number of Haemophilus influenzae biogroup aegyptius -specific virulence factors have been identified and studied (5), such as lipooligosaccharide structure (1), extracellular proteins (6), and outer membrane proteins/adhesins (4, 7). Nevertheless, no factors were conclusively shown to be completely necessary for virulence (1), in part due to a lack of high-quality genome sequences.…”