Fecal samples from healthy children under 2 years of age living in Berlin, Germany (205 infants), and Melbourne, Australia (184 infants), were investigated for the presence of attaching and effacing (AE) Escherichia coli (AEEC) strains by screening for eae (intimin) genes. Twenty-seven AEEC strains were isolated from 14 children (7.6%) from Melbourne and from 12 children (5.9%) from Berlin. The 27 AEEC strains were classified as enterohemorrhagic E. coli (one strain, producing Shiga toxin 1), typical enteropathogenic E. coli (EPEC) (one strain carrying an EPEC adherence factor [EAF] plasmid), and atypical EPEC (25 strains negative for Shiga toxins and EAF plasmids). The AEEC were divided into 18 different serotypes, O-nontypeable and O-rough strains. Typing of their intimin genes revealed the presence of intimin ␣ in 6 strains, intimin  in 11 strains, intimin ␥ in 7 strains, intimin in 2 strains, and intimin in one strain. Analysis of HEp-2 cell adherence showed diffuse adherence or localized adherence-like patterns in 26 AEEC strains; local adherence was found only with the EAF-positive strain. Ten AEEC strains showed an AE property with the fluorescent actin staining (FAS) test. The introduction of an EAF plasmid (pMAR7) converted 11 FAS-negative AEEC strains to FAS positive and increased the FAS reaction in six FAS-positive AEEC strains, indicating that the genes needed for the AE phenotype were functional in these strains. Our finding indicates that atypical EPEC strains could play a double role as strains that naturally immunize against intimin in humans and as reservoirs for new emerging human pathogenic EPEC strains.The ability to cause attaching and effacing (AE) lesions in cells of the intestinal mucosa was identified as an important pathogenicity factor of enteropathogenic Escherichia coli (EPEC) and enterohemorrhagic E. coli (EHEC) strains (42,64). The AE lesion is generated by intimate attachment of bacteria to the enterocytes, which is followed by aggregation of the cytoskeletal actin and effacement of microvilli (34). Actin aggregation caused by AE E. coli (AEEC) strains results in a typical picture which can be visualized by a fluorescent actin staining (FAS) test which is used for detection of EPEC and EHEC (34,35,58). The genes coding for the AE lesion are located on a pathogenicity island termed "locus of enterocyte effacement" (LEE) in EPEC and EHEC strains. The 34-kb core region of the LEE is highly conserved in human and animal EPEC and EHEC strains and contains polycistronic operons harboring genes for type III secretion and adhesion proteins (18,40,51,68). Intimate attachment of bacteria to the eucaryotic cell is mediated by intimin, the product of the eae gene, which is incorporated in the bacterial membrane. Intimin binds to the translocated intimin receptor (Tir), which is presented on the surface of the eucaryotic target cell (for a review, see reference 64). The detection of the intimin gene was taken as an indicator for the presence of functional LEE genes because it was shown that ...