1. Haemolytic-uraemic syndrome with bacteraemia caused by a new hybrid Escherichia coli pathotype
- Author
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P. Mariani-Kurkdjian, C. Lemaître, P. Bidet, D. Perez, L. Boggini, T. Kwon, and S. Bonacorsi
- Subjects
bacteraemia ,ColV plasmid ,extraintestinal virulence factors ,haemolytic–uraemic syndrome ,Shiga toxin-producing Escherichia coli ,Infectious and parasitic diseases ,RC109-216 - Abstract
We describe a new atypical Shiga-toxin-producing Escherichia coli (STEC) responsible for a severe episode of haemolytic–uraemic syndrome in an adult with a relapse associated with bacteraemia. This STECs train of serotype O80:H2 harboured stx2c and stx2d gene subtypes, the rare eae ɛ variant and a ColV plasmid with a conserved virulence plasmidic region involved in virulence of human and avian extraintestinal pathogenic E. coli. This atypical hybrid pathotype, which represents a new threat, is a further demonstration that STEC may be a recipient for extraintestinal virulence factors and raises again the question of antibiotic therapy during STEC infection.
- Published
- 2014
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