Virulence Type

Serogroup

Disease

Summary of Host Cell

Interaction

Enteropathogenic

(EPEC)

055 H6, NM

086 H34, NM

0111 H2, H12, NM

0119 H6, NM

0125ac H21

0126 H27, NM

0128 H2, H12

0142 H6

‒ Enteritis in infants

‒ Traveler’s diarrhoea

‒ EPEC attach to intestinal mucosal cells causing cell structure alterations (attaching and effacing)

‒ EPEC cells invade the mucosal cells

Enterotoxigenic

(ETEC)

06 H16

08 H9

011 H27

015 H11

020 NM

025 H42, NM

027 H7

078 H11, H12

0128 H7

0148 H28

0149 H10

0159 H20

0173 NM

‒ Diarrhoea, vomiting and fever

‒ Traveler’s diarrhoea

ETEC adhere to the small intestinal mucosa and produce toxins that act on the mucosal cells

Verocytotoxigenic (VTEC; including enterohaemorrhagic, EHEC)

026 H11, H32, NM

055 H7

0111ab H8, NM

0113 H21

0117 H14

0157 H7

Shigella-like dysentery (stool contain blood and mucus)

‒ Haemolytic uraemic syndrome

EHEC attach to and efface mucosal cells and produce toxin

Enteroinvasive (EIEC)

028ab NM

029 NM

0112ac NM

0124 H30, NM

0136 NM

0143 NM

0144 NM

0152 NM

0159 H2, NM

0164 NM

0167 H4, H5, NM

Shigella-like dysentery

EIEC invade cells in the colon and spread laterally, cell to cell

Enteroaggregative (EAEC)

03 H2

015 H18

044 H18

086 NM

077 H18

0111 H21

0127 H2

Persistent diarrhoea in children

EAEC bind in clumps (aggregates) to cells of the small intestine and produce toxins

Diffusely adherent (DAEC)

Not yet established

Childhood diarrhoea

Fimbrial and non-fimbrial adhesions identified