“…22,23 Interestingly, in Australia, where the incidence of EHEC is relatively low, the vtx2 2 gene is also more rarely reported and seldom appears alone, in contrast to the situation in Europe. [24][25][26] The LEE operon and genes encoding proteins secreted by the type III secretion system have been investigated as discriminators for high virulence. 8,9,11 In particular, the PAI (pathogenicity island) OI:122 encoding the non-LEE effectors nleB and nleE has been pointed out as an important contributor to high virulence.…”