ABSTRACT. Escherichia coli heat-stable enterotoxinsIt is now becoming clear that ST enterotoxins are elaborated (ST) are classified into STa and STb according to their not only by E. coli strains but also by other bacteria. We recently physicochemical and biologic characteristics. STa induces described the physicochemical properties of an E. coli ST-like diarrhea, activating the guanylate cyclase-cGMP system. enterotoxin produced by Citrobacter freundii and found that it ST-like enterotoxins can be produced by bacteria other cross-reacted with MAb raised against pure E. coli ST (7). Klipthan E. coli, including Klebsiellapneumoniae. A Klebsiella stein et al. have investigated the biochemical (8) and immuno-ST has previously been shown to share some chemical and logic (9) properties of an ST produced by Klebsiella pneumoniae immunologic characteristics with E. coli ST. Aiming to and found it similar to the ST produced by E. coli. define better the nature of Klebsiella ST, we have screened Aiming to define better the nature and the characteristics 3f 237 children with diarrhea and 179 controls for ST-pro-Klebsiella ST, we have systematically searched for Klebsiella in ducing Klebsiella, using the SMA. We detected 26 Kleb-the stools of children with diarrhea. Two SMA-positive strains siella strains from patients, two of which were positive in of K. pneumoniae have been isolated from two infants with the SMA, and 36 from controls, all negative for ST. A diarrhea. In this report, we describe our studies of the physicopartial purification was performed using an acetone precip-chemical characteristics, the mechanism of action, and the lack itation followed by ultrafiltration and gel filtration tech-of cross-reactivity of K. pneumoniae enterotoxic activity with niques. Klebsiella toxin was heat-stable, methanol-soluble, anti-E. coli ST MAb. sensitive to mercaptoethanol, active at acid pH values, but not at pH >8. The time course of Klebsiella toxin in the SMA resembled that of E. coli STa. Klebsiella ST caused MATERIALS AND METHODS