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Journal of Clinical Microbiology, August 2002, p. 3086-3088, Vol. 40, No. 8
0095-1137/02/$04.00+0     DOI: 10.1128/JCM.40.8.3086-3088.2002
Copyright © 2002, American Society for Microbiology. All Rights Reserved.

Chronic Diarrhea, Hemorrhagic Colitis, and Hemolytic-Uremic Syndrome Associated with HEp-2 Adherent Escherichia coli in Adults Infected with Human Immunodeficiency Virus in Bangui, Central African Republic

Christian Mossoro,1 Philippe Glaziou,2 Simon Yassibanda,3 Nguyen Thi Phuong Lan,1 Claudine Bekondi,1 Pierre Minssart,4 Christine Bernier,5 Chantal Le Bouguénec,5 and Yves Germani1*

Unité des Maladies Infectieuses Opportunistes, Institut Pasteur de Bangui,1 Service de Gastroentérologie, Hôpital de l'Amitié,3 Service de Médecine, Hôpital Communautaire, Bangui, Central African Republic,4 Unité d'Epidémiologie, Institut Pasteur du Cambodge, Phnom Penh, Cambodia,2 Unité de Pathogénie Bactérienne des Muqueuses, Institut Pasteur, Paris, France5

Received 2 January 2002/ Returned for modification 21 March 2002/ Accepted 7 May 2002

In human immunodeficiency virus (HIV)-infected adults from the Central African Republic, the occurrence of chronic diarrhea due to HEp-2 adherent Escherichia coli (EAEC) harboring virulence markers (eaeA, BFP, EAF, astA determinant of EAST/1, positive FAS test, enteropathogenic E. coli O serogroup) was shown to be associated with AIDS. We also show that EAEC that produce verotoxin (Stx2) but do not harbor the genetic markers for classical enterohemorrhagic E. coli are involved in hemorrhagic colitis and hemolytic-uremic syndrome in patients with HIV.

* Corresponding author. Mailing address: Institut Pasteur de Bangui (Unité des Maladies Infectieuses Opportunistes) S/C de l'Institut Pasteur à Paris, 25-28 rue du Docteur ROUX, 75724 Paris Cedex 15, France. Phone: (236) 61 85 83. Fax: (236) 61 01 09. E-mail: germani{at}intnet.cf.

Journal of Clinical Microbiology, August 2002, p. 3086-3088, Vol. 40, No. 8
0095-1137/02/$04.00+0     DOI: 10.1128/JCM.40.8.3086-3088.2002
Copyright © 2002, American Society for Microbiology. All Rights Reserved.



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