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Review
. 2002 May;8(5):508-13.
doi: 10.3201/eid0805.010385.

Typical and atypical enteropathogenic Escherichia coli

Affiliations
Review

Typical and atypical enteropathogenic Escherichia coli

Luiz R Trabulsi et al. Emerg Infect Dis. 2002 May.

Abstract

Typical and atypical enteropathogenic Escherichia coli (EPEC) strains differ in several characteristics. Typical EPEC, a leading cause of infantile diarrhea in developing countries, is rare in industrialized countries, where atypical EPEC seems to be a more important cause of diarrhea. For typical EPEC, the only reservoir is humans; for atypical EPEC, both animals and humans can be reservoirs. Typical and atypical EPEC also differ in genetic characteristics, serotypes, and virulence properties. Atypical EPEC is more closely related to Shiga toxin-producing E. coli (STEC), and like STEC these strains appear to be emerging pathogens.

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Figures

Figure 1
Figure 1
Attaching and effacing lesion showing effacement of microvilli (mv) and pedestal (star) with adherent enteropathogenic Escherichia coli (EPEC) (arrow). Reprinted from reference , with permission of the director of American Society of Microbiology Journals.
Figure 2
Figure 2
Diagram of the main genes of the locus of enterocyte effacement (LEE) region and the enteropathogenic Escherichia coli (EPEC) adherence factor (EAF) plasmid.
Figure 3
Figure 3
Adherence patterns of enteropathogenic Escherichia coli (EPEC) strains. Localized adherence (LA), diffuse adherence (DA), aggregative adherence (AA), and localized adherence-like (LAL). Magnification: X100.
Figure 4
Figure 4
Dendogram to illustrate genetic differences between typical and atypical enteropathogenic Escherichia coli (EPEC) strains and E. coli O157:H7 strains.

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