Diarrhea, bacteremia and multiorgan dysfunction due to an extraintestinal pathogenic Escherichia coli strain with enteropathogenic E. coli genes

A 55-year-old man with well-controlled HIV had severe diarrhea for 3 weeks and developed multiorgan dysfunction and bacteremia due to Escherichia coli. The genome of the patient's isolate had features characteristic of extraintestinal pathogenic E. coli and genes distantly related to those defining enteropathogenic E. coli.
A novel isolate of Escherichia coli with features of extraintestinal and enteropathogenic strains was isolated from the blood of a man with multiorgan dysfunction following 3 weeks of diarrhea.
Graphical Abstract Figure. A novel isolate of Escherichia coli with features of extraintestinal and enteropathogenic strains was isolated from the blood of a man with multiorgan dysfunction following 3 weeks of diarrhea.