Whole-Genome Characterization and Strain Comparison of VT2f-Producing Escherichia coli Causing Hemolytic Uremic Syndrome.
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Authors
Grande, LauraMichelacci, Valeria
Bondì, Roslen
Gigliucci, Federica
Franz, Eelco
Badouei, Mahdi Askari
Schlager, Sabine
Minelli, Fabio
Tozzoli, Rosangela
Caprioli, Alfredo
Morabito, Stefano
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ArticleLanguage
en
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Whole-Genome Characterization and Strain Comparison of VT2f-Producing Escherichia coli Causing Hemolytic Uremic Syndrome.Published in
Emerg Infect Dis 2016; 22(12):2078-86Publiekssamenvatting
Verotoxigenic Escherichia coli infections in humans cause disease ranging from uncomplicated intestinal illnesses to bloody diarrhea and systemic sequelae, such as hemolytic uremic syndrome (HUS). Previous research indicated that pigeons may be a reservoir for a population of verotoxigenic E. coli producing the VT2f variant. We used whole-genome sequencing to characterize a set of VT2f-producing E. coli strains from human patients with diarrhea or HUS and from healthy pigeons. We describe a phage conveying the vtx2f genes and provide evidence that the strains causing milder diarrheal disease may be transmitted to humans from pigeons. The strains causing HUS could derive from VT2f phage acquisition by E. coli strains with a virulence genes asset resembling that of typical HUS-associated verotoxigenic E. coli.PMID
27584691ae974a485f413a2113503eed53cd6c53
10.3201/eid2212.160017
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