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Journal of Clinical Microbiology, June 1998, p. 1777-1780, Vol. 36, No. 6
0095-1137/98/$04.00+0
Copyright © 1998, American Society for Microbiology. All rights reserved.

Non-O157:H7 Stx2-Producing Escherichia coli Strains Associated with Sporadic Cases of Hemolytic-Uremic Syndrome in Adults

R. Bonnet,1 B. Souweine,2 G. Gauthier,3 C. Rich,1 V. Livrelli,1 J. Sirot,1 B. Joly,1 and C. Forestier1,*

Laboratoire de Bactériologie, Faculté de Médecine-Pharmacie, Université d'Auvergne-Clermont-1,1 Service de Réanimation-Néphrologie, Centre Hospitalier Régional Universitaire,2 and Société Genolife, Biopôle Clermont-Limagne,3 Clermont-Ferrand, France

Received 2 December 1997/Returned for modification 17 February 1998/Accepted 17 March 1998

From August 1996 to May 1997, six verotoxin-producing Escherichia coli (VTEC) strains were isolated from stool specimens of adults suffering from hemolytic-uremic syndrome (HUS). All the isolates were stx2 positive and belonged to different serotypes: O6:H4, O91:H10, O91:H21, O rough:H16, OX3:H-, and O nontypeable:H-. The enterohemolysin (Ehly)-encoding genes were detected in two isolates, and none of the isolates harbors the intimin (Eae)-encoding gene. These findings suggest that stx2-positive non-O157:H7 VTEC is a major cause of HUS in adults and that several sources of pathogens are responsible for local endemic infections.


* Corresponding author. Mailing address: Laboratoire de Bactériologie, Faculté de Pharmacie, Université d'Auvergne, 28, place H. Dunant, 63001 Clermont-Ferrand, France. Phone: (33) 4 73 60 80 19. Fax: (33) 4 73 27 74 94. E-mail: Christiane.forestier{at}u-clermont1.fr.


Journal of Clinical Microbiology, June 1998, p. 1777-1780, Vol. 36, No. 6
0095-1137/98/$04.00+0
Copyright © 1998, American Society for Microbiology. All rights reserved.



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