2011
DOI: 10.1016/j.ijmm.2010.06.003
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Comparative analysis of virulence genes, genetic diversity, and phylogeny of Shiga toxin 2g and heat-stable enterotoxin STIa encoding Escherichia coli isolates from humans, animals, and environmental sources

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Cited by 59 publications
(68 citation statements)
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“…STEC/ETEC hybrid strains carrying both stx and est have been isolated from humans and animals (6,(27)(28)(29)(30). Of those, O101:H-isolated from an infant with HUS carried stx2a, estA1, eae, and espP; O2:H27 isolated from a child with diarrhea, an asymptomatic adult, and bovine feces carried stx2a, estA1, and astA (27,28); and O2:H2 isolated from cattle carried stx1a, estA1, and astA (27,29).…”
Section: Discussionmentioning
confidence: 99%
“…STEC/ETEC hybrid strains carrying both stx and est have been isolated from humans and animals (6,(27)(28)(29)(30). Of those, O101:H-isolated from an infant with HUS carried stx2a, estA1, eae, and espP; O2:H27 isolated from a child with diarrhea, an asymptomatic adult, and bovine feces carried stx2a, estA1, and astA (27,28); and O2:H2 isolated from cattle carried stx1a, estA1, and astA (27,29).…”
Section: Discussionmentioning
confidence: 99%
“…An additional recent report of an E. coli strain isolated from a child with acute diarrhea describes the strain as an enteropathogenic E. coli/ETEC hybrid since the genome contains the locus of enterocyte effacement (LEE) pathogenicity island and a gene encoding LT (11). STEC/ETEC hybrid pathotype strains, carrying a gene expressing Shiga toxin and a gene expressing ST, have been isolated from many sources, including humans, animals, food, and water (4,(12)(13)(14)(15)(16)(17)(18). Some STEC/ETEC hybrid strains have been associated with diarrheal disease and HUS in humans (14,17,19), whereas others have been associated with diarrheal disease in pigs (13,20).…”
mentioning
confidence: 99%
“…Although discrete lineages of ETEC have been identified in high-resolution genomic analysis, ETEC strains are considerably diverse genetically (22,23). Various genome comparison studies using core genome multilocus sequence typing (MLST) (19), MLST based on six genes (7), or pulsed-field gel electrophoresis (16,17) have revealed that hybrid STEC/ETEC genomes are also quite diverse. In addition to strains belonging to the Escherichia coli species, hybrid Shiga toxin-producing Escherichia spp./ETEC strains have been identified that are classified phylogenetically as Escherichia sp.…”
mentioning
confidence: 99%
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“…Similarly, the stx 2f subtype, primarily found in STEC isolated from pigeons (20), has been found in 24 Danish cases with nonsevere disease symptoms (F. Scheutz, unpublished data) and has rarely been implicated in severe human illness (21). Lastly, the stx 2g subtype, originally isolated from STEC in cattle (16), has been isolated from a Danish patient without diarrhea (Scheutz, unpublished) and, more recently, from some human isolates, but in most of these strains, the stx 2g gene was not expressed (19). Since the association of some Stx subtypes with illness remains uncertain, the inability of assays to detect some of these Stx subtypes may not be of significant public health concern.…”
mentioning
confidence: 99%