Non-O157 Shiga toxin-producing Escherichia coli infections in Europe.

A. Caprioli,A. Tozzi,G. Rizzoni,H. Karch

Published 1997 in Emerging Infectious Diseases

ABSTRACT

(STEC) infections are an important cause ofsevere human disease. Although most infectionsare caused by strains of serogroup O157, STECpathogenic to humans may belong to otherserogroups usually referred to as non-O157 STEC.Recently, Tarr et al. (1) and Acheson et al. (2)described infections attributable to STEC O103and expressed concern that non-O157 STEC maypose an underestimated threat to public health inthe United States. In fact, non-O157 STEC isoften overlooked in clinical microbiology labora-tories because the toxigenic phenotype is notexploited to identify such pathogens. Rather,most laboratories use sorbitol MacConkey agarand serotyping (which cannot detect most non-O157 STEC) to identify

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