PMID- 25571907 OWN - NLM STAT- MEDLINE DCOM- 20160927 LR - 20151009 IS - 1863-2378 (Electronic) IS - 1863-1959 (Linking) VI - 62 IP - 7 DP - 2015 Nov TI - Hybrids of Shigatoxigenic and Enterotoxigenic Escherichia coli (STEC/ETEC) Among Human and Animal Isolates in Finland. PG - 518-24 LID - 10.1111/zph.12177 [doi] AB - Diarrhoeagenic Escherichia coli (DEC) cause serious foodborne infections in humans. Total of 450 Shigatoxigenic E. coli (STEC) strains isolated from humans, animals and environment in Finland were examined by multiplex PCR targeting the virulence genes of various DEC pathogroups simultaneously. One per cent (3/291) of the human STEC and 14% (22/159) of the animal and environmental STEC had genes typically present in enterotoxigenic E. coli (ETEC). The strains possessed genes encoding both Shiga toxin 1 and/or 2 (stx1 and/or stx2 ) and ETEC-specific heat-stable (ST) enterotoxin Ia (estIa). The identified stx subtypes were stx1a, stx1c, stx2a, stx2d and stx2g. The three human STEC/ETEC strains were isolated from the patients with haemolytic uraemic syndrome and diarrhoea and from an asymptomatic carrier. The animal STEC/ETEC strains were isolated from cattle and moose. The human and animal STEC/ETEC strains belonged to 11 serotypes, of which O2:H27, O15:H16, O101:H-, O128:H8 and O141:H8 have previously been described to be associated with human disease. Identification of multiple virulence genes offers further information for assessing the virulence potential of STEC and other DEC. The emergence of novel hybrid pathogens should be taken into account in the patient care and epidemiological surveillance. CI - (c) 2015 Blackwell Verlag GmbH. FAU - Nyholm, O AU - Nyholm O AD - Bacteriology Unit, National Institute for Health and Welfare (THL), Helsinki, Finland. FAU - Heinikainen, S AU - Heinikainen S AD - Veterinary Bacteriology Research Unit, Finnish Food Safety Authority Evira, Kuopio, Finland. FAU - Pelkonen, S AU - Pelkonen S AD - Veterinary Bacteriology Research Unit, Finnish Food Safety Authority Evira, Kuopio, Finland. FAU - Hallanvuo, S AU - Hallanvuo S AD - Food and Feed Microbiology Research Unit, Finnish Food Safety Authority Evira, Helsinki, Finland. FAU - Haukka, K AU - Haukka K AD - Bacteriology Unit, National Institute for Health and Welfare (THL), Helsinki, Finland. AD - Department of Food and Environmental Sciences, University of Helsinki, Helsinki, Finland. FAU - Siitonen, A AU - Siitonen A AD - Bacteriology Unit, National Institute for Health and Welfare (THL), Helsinki, Finland. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20150109 PL - Germany TA - Zoonoses Public Health JT - Zoonoses and public health JID - 101300786 RN - 0 (Virulence Factors) SB - IM MH - Animals MH - Carrier State/microbiology MH - Cattle MH - Cattle Diseases/*microbiology MH - Deer/*microbiology MH - Diarrhea/microbiology MH - Enterotoxigenic Escherichia coli/*genetics/pathogenicity MH - Escherichia coli Infections/*genetics/microbiology MH - Escherichia coli O157/genetics MH - Finland MH - Hemolytic-Uremic Syndrome/microbiology MH - Humans MH - Polymerase Chain Reaction MH - Serotyping MH - Shiga-Toxigenic Escherichia coli/*genetics/pathogenicity MH - Virulence Factors/*genetics OTO - NOTNLM OT - Shigatoxigenic Escherichia coli OT - emerging pathogenic E. coli OT - enterotoxigenic E. coli OT - hybrid pathogroup OT - multiplex PCR EDAT- 2015/01/13 06:00 MHDA- 2016/09/28 06:00 CRDT- 2015/01/10 06:00 PHST- 2014/08/22 00:00 [received] PHST- 2015/01/10 06:00 [entrez] PHST- 2015/01/13 06:00 [pubmed] PHST- 2016/09/28 06:00 [medline] AID - 10.1111/zph.12177 [doi] PST - ppublish SO - Zoonoses Public Health. 2015 Nov;62(7):518-24. doi: 10.1111/zph.12177. Epub 2015 Jan 9.