Biochemical and molecular characterization of minor serogroups of Shiga toxin-producing Escherichia coli isolated from humans in Osaka prefecture.

We have investigated 37 minor serogroup Shiga toxin-producing Escherichia coli (STEC) strains other than O157, O26, and O111 isolated from human specimens in Osaka prefecture to determine their serological and biochemical characteristics, virulence-associated genes, and clinical signs in patients. The same serotype strains were genotyped by pulsed-field gel electrophoresis (PFGE). The O antigen of 33 strains were typed into 10 serogroups; O28, O63, O65, O91, O103, O119, O121, O126, O165, and O177, and other 4 strains were not agglutinated with any serum. Four different Shiga toxin (Stx) types (1, 2, 2c, and 2f) were distributed in these isolates. The intimin gene was present in 83.8% of the strains and subtyped into intimin alpha, beta, epsilon, and zeta. STEC O165, O177, and OUT isolated from hemolytic uremic syndrome (HUS) patients revealed atypical biochemical characters; negative reaction for lysine decarboxylase and gas production from glucose. Eleven strains including the isolates from HUS patients generated no colonies on cefixime-tellurite (CT)-sorbitol-MacConkey agar plates, since they showed high sensitivity (MIC <or= 1.25 microg/ml) to potassium tellurite. The finding show supportive information for use the selective agar plates with and without CT supplement for the isolation of minor serogroup STEC. PFGE analysis revealed that the strains isolated from family cases were closely related within the respective family, and it was useful for epidemiological analysis of minor serogroup STEC.