Characterisation of the Escherichia coli strain associated with an outbreak of haemolytic uraemic syndrome in Germany, 2011: a microbiological study

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Characterisation of the Escherichia coli strain associated with an outbreak of haemolytic uraemic syndrome in Germany, 2011: a microbiological study Martina Bielaszewska, MD, Alexander Mellmann, MD, Wenlan Zhang, MD, Robin Köck, MD, Angelika Fruth, PhD, Andreas Bauwens, PhD, Georg Peters, MD, Prof Helge Karch, PhD The Lancet Infectious Diseases Volume 11, Issue 9, Pages 671-676 (September 2011) DOI: 10.1016/S1473-3099(11)70165-7 Copyright © 2011 Elsevier Ltd Terms and Conditions

Figure 1 Detection of Escherichia coli O104:H4 outbreak strain The amplicons are stx2 (584 bp), terD (434 bp), rfbO104 (351 bp), fliCH4 (201 bp). Lane 1: HUSEC037 (O104:H21; stx2-positive, terD-negative, rfbO104 -positive, fliCH4-negative). Lanes 2 and 3: E coli O104:H4 outbreak isolates LB226692 and LB226541, respectively. Lane 4: E coli K12 negative control. Lane 5: reagent control. M: 100 kb molecular size marker. The Lancet Infectious Diseases 2011 11, 671-676DOI: (10.1016/S1473-3099(11)70165-7) Copyright © 2011 Elsevier Ltd Terms and Conditions

Figure 2 Aggregative, so called, stacked-brick adherence to cultured intestinal epithelial cells Outbreak Escherichia coli O104:H4 isolate LB226692 (A). An enteroaggregative E coli strain (positive control; B). HUSEC041 (C). HUSEC037 (negative control; D). The Lancet Infectious Diseases 2011 11, 671-676DOI: (10.1016/S1473-3099(11)70165-7) Copyright © 2011 Elsevier Ltd Terms and Conditions