Timecourse of the outbreak.

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Presentation transcript:

Timecourse of the outbreak. Timecourse of the outbreak. The top line shows the retrospective tracing of the fenugreek seed stocks that were linked by association to the German and French outbreak cases. The bottom line (note different scale) indicates significant events occurring at the clinical and diagnostic scenery during the outbreak. No direct connection between the two lines has been firmly established and the circumstances under which the E. coli O104:H4 strain came into contact with sprouts have not been documented. (1) Sample received at German National Consulting Laboratory for Hemolytic Uremic Syndrome; (2) Molecular subtyping data available based on partial gnd‐sequencing (O104), fliC‐RFLP‐typing (H4), MLST (ST678); (3) Stx2 subtype confirmed by PCR and sequencing. ESBL phenotype confirmed; (4) Shotgun genome sequencing on Ion Torrent platform started at German National Consulting Laboratory for HUS. Publication in the Internet of a specific PCR for the differentiation of the outbreak clone from other EHEC; (5) Shotgun genome sequence available. Helge Karch et al. EMBO Mol Med. 2012;4:841-848 © as stated in the article, figure or figure legend