Highly Pathogenic Clone of Shiga Toxin–Producing Escherichia coli O157:H7, England and Wales

Autor: Lisa Byrne, Timothy J. Dallman, Natalie Adams, Amy F.W. Mikhail, Noel McCarthy, Claire Jenkins
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Zdroj: Emerging Infectious Diseases, Vol 24, Iss 12, Pp 2303-2308 (2018)
Druh dokumentu: article
ISSN: 1080-6040
1080-6059
DOI: 10.3201/eid2412.180409
Popis: We used whole-genome sequencing to investigate the evolutionary context of an emerging highly pathogenic strain of Shiga toxin–producing Escherichia coli (STEC) O157:H7 in England and Wales. A timed phylogeny of sublineage IIb revealed that the emerging clone evolved from a STEC O157:H7 stx-negative ancestor ≈10 years ago after acquisition of a bacteriophage encoding Shiga toxin (stx) 2a, which in turn had evolved from a stx2c progenitor ≈20 years ago. Infection with the stx2a clone was a significant risk factor for bloody diarrhea (OR 4.61, 95% CI 2.24–9.48; p
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