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1.
Rev Argent Microbiol ; 44(2): 85-8, 2012.
Artículo en Español | MEDLINE | ID: mdl-22997765

RESUMEN

The purpose of this work was to characterize 47 Escherichia coli strains isolated from 32 pigs diagnosed with postweaning diarrhea and three pigs with edema disease by PCR. Forty two (95.5 %) of the strains isolated from diarrheic pigs were characterized as enterotoxigenic E. coli (ETEC) and 2 (4.5 %) as Shiga toxin-producing E. coli (STEC). Fourteen (33.3 %) ETEC strains were positive for est/estII/fedA genes. The most complex genotype was eltA/estI/faeG/aidA. Strains isolated from pigs with ED were classified as porcine STEC and were stx2e/aidA carriers. Eleven (25 %) strains carried the gene encoding adhesin protein AIDA-I. However, genes coding for F5, F6, F41, intimin and Paa were not detected. The development of vaccines generating antibodies against prevalent E. coli adhesins in Argentina could be useful for the prevention of PWD and ED.


Asunto(s)
Diarrea/veterinaria , Edematosis Porcina/microbiología , Escherichia coli Enterotoxigénica/genética , Infecciones por Escherichia coli/veterinaria , Proteínas de Escherichia coli/genética , Genes Bacterianos , Escherichia coli Shiga-Toxigénica/genética , Enfermedades de los Porcinos/microbiología , Adhesinas de Escherichia coli/genética , Animales , Argentina/epidemiología , Diarrea/epidemiología , Diarrea/microbiología , Brotes de Enfermedades , Edematosis Porcina/epidemiología , Escherichia coli Enterotoxigénica/aislamiento & purificación , Enterotoxinas/genética , Infecciones por Escherichia coli/epidemiología , Infecciones por Escherichia coli/microbiología , Genotipo , Escherichia coli Shiga-Toxigénica/aislamiento & purificación , Sus scrofa , Porcinos , Enfermedades de los Porcinos/epidemiología , Destete
2.
Rev. argent. microbiol ; 44(2): 85-88, jun. 2012. tab
Artículo en Español | LILACS | ID: lil-657616

RESUMEN

El objetivo del trabajo fue caracterizar mediante PCR 47 aislamientos de Escheríchia coli recuperados de 32 cerdos con diagnóstico clínico de diarrea posdestete (DPD) y de 3 cerdos con enfermedad de los edemas (ED). Sobre 44 aislamientos provenientes de cerdos con DPD, 42 (95,5 %) fueron caracterizados como E. coli enterotoxigénicos (ETEC) y 2 (4,5 %) como E. coli productores de toxina Shiga (STEC). Catorce aislamientos de ETEC (33,3 %) fueron positivos para los genes estl/estlI/fedA. El genotipo más complejo fue eltA/estll/east1/faeG/aidA. Los aislamientos provenientes de cerdos con ED se clasificaron como STEC porcinos y fueron portadores de stxJaidA. Once aislamientos (25 %) fueron portadores del gen que codifica la expresión de la adhesina AIDA-I. Sin embargo, en ningún aislamiento se detectaron los genes que codifican la expresión de las adhesinas F5, F6, F41, de intimina y de "Paa". La prevención de la DPD y de la ED podría realizarse mediante el desarrollo de vacunas que generen anticuerpos contra las adhesinas de las cepas de E. coli prevalentes en la Argentina.


The purpose of this work was to characterize 47 Escherichia coli strains isolated from 32 pigs diagnosed with postweaning diarrhea and tree pigs with edema disease by PCR. Forty two (95.5 %) of the strains isolated from diarrheic pigs were characterized as enterotoxigenic E. coli (ETEC) and 2 (4.5 %) as Shiga toxin-producing E. coli (STEC). Fourteen (33.3 %) ETEC strains were positive for est/estll/fedA genes. The most complex genotype was eltA/estl/faeG/aidA. Strains isolated from pigs with ED were classified as porcine STEC and were stxjaidA carriers. Eleven (25 %) strains carried the gene encoding adhesln protein AIDA-I. However, genes coding for F5, F6, F41, intimin and Paa were not detected. The development of vaccines generating antibodies against prevalent E. coli adhesins in Argentina could be useful for the prevention of PWD and ED.


Asunto(s)
Animales , Diarrea/veterinaria , Edematosis Porcina/microbiología , Escherichia coli Enterotoxigénica/genética , Infecciones por Escherichia coli/veterinaria , Proteínas de Escherichia coli/genética , Genes Bacterianos , Escherichia coli Shiga-Toxigénica/genética , Enfermedades de los Porcinos/microbiología , Adhesinas de Escherichia coli/genética , Argentina/epidemiología , Brotes de Enfermedades , Diarrea/epidemiología , Diarrea/microbiología , Edematosis Porcina/epidemiología , Escherichia coli Enterotoxigénica/aislamiento & purificación , Enterotoxinas/genética , Infecciones por Escherichia coli/epidemiología , Infecciones por Escherichia coli/microbiología , Genotipo , Sus scrofa , Porcinos , Escherichia coli Shiga-Toxigénica/aislamiento & purificación , Enfermedades de los Porcinos/epidemiología , Destete
3.
Rev. argent. microbiol ; 44(2): 85-88, jun. 2012. tab
Artículo en Español | BINACIS | ID: bin-129222

RESUMEN

El objetivo del trabajo fue caracterizar mediante PCR 47 aislamientos de Escheríchia coli recuperados de 32 cerdos con diagnóstico clínico de diarrea posdestete (DPD) y de 3 cerdos con enfermedad de los edemas (ED). Sobre 44 aislamientos provenientes de cerdos con DPD, 42 (95,5 %) fueron caracterizados como E. coli enterotoxigénicos (ETEC) y 2 (4,5 %) como E. coli productores de toxina Shiga (STEC). Catorce aislamientos de ETEC (33,3 %) fueron positivos para los genes estl/estlI/fedA. El genotipo más complejo fue eltA/estll/east1/faeG/aidA. Los aislamientos provenientes de cerdos con ED se clasificaron como STEC porcinos y fueron portadores de stxJaidA. Once aislamientos (25 %) fueron portadores del gen que codifica la expresión de la adhesina AIDA-I. Sin embargo, en ningún aislamiento se detectaron los genes que codifican la expresión de las adhesinas F5, F6, F41, de intimina y de "Paa". La prevención de la DPD y de la ED podría realizarse mediante el desarrollo de vacunas que generen anticuerpos contra las adhesinas de las cepas de E. coli prevalentes en la Argentina.(AU)


The purpose of this work was to characterize 47 Escherichia coli strains isolated from 32 pigs diagnosed with postweaning diarrhea and tree pigs with edema disease by PCR. Forty two (95.5 %) of the strains isolated from diarrheic pigs were characterized as enterotoxigenic E. coli (ETEC) and 2 (4.5 %) as Shiga toxin-producing E. coli (STEC). Fourteen (33.3 %) ETEC strains were positive for est/estll/fedA genes. The most complex genotype was eltA/estl/faeG/aidA. Strains isolated from pigs with ED were classified as porcine STEC and were stxjaidA carriers. Eleven (25 %) strains carried the gene encoding adhesln protein AIDA-I. However, genes coding for F5, F6, F41, intimin and Paa were not detected. The development of vaccines generating antibodies against prevalent E. coli adhesins in Argentina could be useful for the prevention of PWD and ED.(AU)


Asunto(s)
Animales , Diarrea/veterinaria , Edematosis Porcina/microbiología , Escherichia coli Enterotoxigénica/genética , Infecciones por Escherichia coli/veterinaria , Proteínas de Escherichia coli/genética , Genes Bacterianos , Escherichia coli Shiga-Toxigénica/genética , Enfermedades de los Porcinos/microbiología , Adhesinas de Escherichia coli/genética , Argentina/epidemiología , Diarrea/epidemiología , Diarrea/microbiología , Brotes de Enfermedades , Edematosis Porcina/epidemiología , Escherichia coli Enterotoxigénica/aislamiento & purificación , Enterotoxinas/genética , Infecciones por Escherichia coli/epidemiología , Infecciones por Escherichia coli/microbiología , Genotipo , Escherichia coli Shiga-Toxigénica/aislamiento & purificación , Sus scrofa , Porcinos , Enfermedades de los Porcinos/epidemiología , Destete
4.
Trop Anim Health Prod ; 42(8): 1797-804, 2010 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-20661643

RESUMEN

Edema disease (ED) is a common fatal disease in newly weaned piglets. To develop an effective control program for ED, we carried out a study to better understand the incidence and spread of the disease and the characteristics of the causative agent. In our study, 69 Escherichia coli strains, isolated from 92 piglets showing clinical signs of ED from 13 provinces in northern Vietnam, were positive for both the VT2e toxin and the F18 major fimbrial subunit gene fedA. Of these, 40 strains (58%) were positive for AIDA and 16 isolates carried one or more enterotoxins. Forty-six (67%) of the 69 VT2e(+)/F18(+) E. coli isolates belonged to classical serotypes (O139:K82, O141: K85, O138:K81, and O149:K91) while the remaining strains did not belong to the common serotypes in pig. Seropathotype 0139:K82(+)/VT2e(+)/F18(+)/AIDA(+) (21 isolates) was the most frequently detected ED-causing E. coli strain. High prevalence of resistance was observed to the common drugs of tetracycline, streptomycin, trimethoprim/sulfamethoxazole, amoxicillin/clavulanic acid, and spectinomycin. Multiple resistances were widely distributed with 84% of isolates resistant to five antibiotics. Sequence analysis demonstrated that the VT2e toxin is identical among E. coli strains causing ED in pig.


Asunto(s)
Farmacorresistencia Bacteriana Múltiple/genética , Edematosis Porcina/epidemiología , Edematosis Porcina/microbiología , Escherichia coli/patogenicidad , Toxina Shiga II/toxicidad , Secuencia de Aminoácidos , Animales , Secuencia de Bases , Chlorocebus aethiops , Cartilla de ADN/genética , Edematosis Porcina/prevención & control , Incidencia , Datos de Secuencia Molecular , Análisis de Secuencia de ADN/veterinaria , Serotipificación/veterinaria , Toxina Shiga II/genética , Especificidad de la Especie , Porcinos , Células Vero , Vietnam/epidemiología
5.
Indian J Med Res ; 127(6): 602-6, 2008 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-18765880

RESUMEN

BACKGROUND & OBJECTIVE: An oedema outbreak occurred in a Guwahati pig farm. Escherichia coli isolates from different necropsy samples collected from the dead piglets with oedema were characterized to confirm the virulence. METHODS: Haemolytic E. coli isolates recovered from liver, lung and intestine of pigs with oedema were examined for presence of genes encoding pathogroups such as enteropathogenic Escherichia coli (EPEC), (eae/bfpA), enteroaggregative Escherichia coli (EAggEC), (eagg), enterotoxigive Escherichia coil (ETEC), (elt/est) and shiga like toxin producing Escherichia coli (STEC), (stx1/ stx2) by PCR and molecular typing by randomly amplified polymorphic DNA-PCR (RAPD-PCR). RESULTS: The three haemolytic E. coli recovered from diseased pigs were STEC because of presence of the stx2 and eae genes. Analysis by RAPD-PCR indicated that two of the three isolates were genetically related. INTERPRETATION & CONCLUSION: The isolation of STEC isolates from pigs with oedema was shown. Although the three isolates were untypable, presence of eae and stx2 genes clearly indicated these as prime cause of pig oedema disease. Further, demonstration of STEC in pigs becomes a public health concern, as pigs are potential reservoir of such agents, which may cause human illness.


Asunto(s)
Edematosis Porcina/microbiología , Infecciones por Escherichia coli/veterinaria , Toxina Shiga/genética , Escherichia coli Shiga-Toxigénica/genética , Animales , Animales Recién Nacidos , Secuencia de Bases , ADN Bacteriano/genética , Brotes de Enfermedades/veterinaria , Edematosis Porcina/epidemiología , Infecciones por Escherichia coli/epidemiología , Infecciones por Escherichia coli/microbiología , India/epidemiología , Epidemiología Molecular , Escherichia coli Shiga-Toxigénica/aislamiento & purificación , Sus scrofa
6.
Acta Vet Scand ; 50: 13, 2008 Jun 02.
Artículo en Inglés | MEDLINE | ID: mdl-18513456

RESUMEN

BACKGROUND: Oedema disease is a severe disease, mainly affecting recently weaned pigs. It is caused by E. coli strains that express fimbriae F18 and produce verotoxin 2e, mainly belonging to serotype O138, O139 or O141. The aim of this study was to compare E. coli isolates within these serotypes with respect to diversity. METHODS: Faecal E. coli strains belonging to serotypes O138, O139 and O141 isolated during the period 1994-1998 from Swedish pigs aged less than 12 weeks were compared using a biochemical fingerprinting system. Aiming to compare the results obtained over time, also strains isolated during 1964-67 and 1975-80 were included in the study. The study comprised 129, 263 and 95 isolates of E. coli serotype O138, O139 and O141, respectively. RESULTS: Biochemical phenotypes (BPTs) were defined. At each sampling occasion each herd could only contribute with one isolate per BPT. Consequently, all but one of identical BPTs identified at a specific sampling occasion was omitted. The final number of isolates from 1994-98 that was compared included 64, 182 and 41 isolates of serotypes O138, O139 and O141, respectively. Within each serotype, the dominating BPT included over 65% of the compared isolates, demonstrating a large dominance of one BPT per serotype. These dominating BPTs were also demonstrated in the material from the 1960ies and the 1970ies. Still, the presence of other common BPTs (especially within serotype O138 and O139) demonstrated a certain variation within serotype. In a herd severely affected by oedema disease, E. coli serotype O139 was easily demonstrated in diseased pigs but only rarely in apparently healthy weaners CONCLUSION: The results obtained demonstrate the presence of dominating BPTs within the oedema disease inducing serotypes. A stability of these BPTs over time was observed, presumably at least partly due to a never-ending access to naïve pigs. Still, the presence of other common BPTs indicates a variation over time, which visualises the importance of monitoring for this. Such studies should focus on pigs affected by oedema disease, because oedema disease inducing strains of E. coli were only rarely demonstrated in healthy pigs in a herd affected by oedema disease.


Asunto(s)
Edematosis Porcina/microbiología , Infecciones por Escherichia coli/veterinaria , Escherichia coli/clasificación , Animales , Edematosis Porcina/epidemiología , Infecciones por Escherichia coli/epidemiología , Infecciones por Escherichia coli/microbiología , Heces/microbiología , Mapeo Peptídico/veterinaria , Fenotipo , Estudios Retrospectivos , Serotipificación/veterinaria , Suecia/epidemiología , Porcinos , Factores de Tiempo
7.
J Clin Microbiol ; 44(9): 3074-7, 2006 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-16954229

RESUMEN

Edema disease is a systemic disease of weaned pigs caused by host-adapted strains of Escherichia coli, most commonly belonging to serogroup O138, O139, or O141. In the late 1990s, E. coli O147 strains containing the virulence genes f18, sta, stb, and stx(2) were recovered from outbreaks of edema disease in the United States. Pulsed-field gel electrophoresis (PFGE) was used to determine that the majority of these strains (34/43) were closely related to one another. Subsequent analysis by multilocus restriction typing confirmed the PFGE results and indicated that the cluster of edema disease strains were only distantly related to other E. coli O147 strains. Serogrouping of edema disease isolates from the Iowa State University Veterinary Diagnostic laboratory recovered between 1996 and 2000 indicated that 42% belonged to serogroup O147. Our data suggest that these strains may be a common serotype of edema disease-causing E. coli in the United States.


Asunto(s)
Brotes de Enfermedades/veterinaria , Edematosis Porcina/microbiología , Infecciones por Escherichia coli/veterinaria , Escherichia coli/genética , Escherichia coli/patogenicidad , Animales , Edematosis Porcina/epidemiología , Electroforesis en Gel de Campo Pulsado , Escherichia coli/clasificación , Escherichia coli/aislamiento & purificación , Infecciones por Escherichia coli/epidemiología , Infecciones por Escherichia coli/microbiología , Proteínas de Escherichia coli/genética , Prevalencia , Mapeo Restrictivo , Serotipificación , Toxina Shiga II/genética , Porcinos/microbiología , Virulencia
8.
Vet Microbiol ; 110(1-2): 35-9, 2005 Sep 30.
Artículo en Inglés | MEDLINE | ID: mdl-16026940

RESUMEN

F18ab and F18ac are important fimbrial colonization factors of verotoxigenic Escherichia coli (VTEC) and/or enterotoxigenic E. coli (ETEC) in weaned piglets with edema disease and/or diarrhea. To further investigate their prevalence and correlation to pathogenic E. coli, a duplex PCR, using three primers derived from the nucleotide sequence of the F18 major fimbrial subunit gene (fedA), and a direct agglutination test, using a monoclonal antibody specific for the antigenic factor 'a' of F18, were performed. Among 60VTEC, 24VTEC/ETEC and 24 ETEC isolates tested from weaned piglets with edema disease and/or diarrhea in different pig farms in the Jiangsu Province of China, 52 isolates (48.15%) were positive in the direct agglutination test and 63 isolates (58.33%) were positive in the duplex PCR. Among 63 PCR-positive isolates, 53 isolates (49.07%) were F18ab-positive and 10 isolates (9.26%) were F18ac-positive. In addition, the F18ab gene was more frequently detected in VTEC (61.67%) or VTEC/ETEC (62.50%) than in ETEC (4.17% only), while the F18ac gene was more frequently detected in VTEC/ETEC (33.33%) than in ETEC (8.33%) or VTEC (0%). Furthermore, F18ab was more frequently associated with Shiga toxin 2e (Stx2e), whereas F18ac was more frequently associated with enterotoxin ST I. These results suggest that the duplex PCR performed in this experiment is a more reliable method for identification of F18+E. coli, and that F18 is a more important virulence factor of VTEC and VTEC/ETEC.


Asunto(s)
Diarrea/veterinaria , Edematosis Porcina/microbiología , Infecciones por Escherichia coli/veterinaria , Proteínas de Escherichia coli/análisis , Proteínas Fimbrias/análisis , Enfermedades de los Porcinos/microbiología , Adhesinas de Escherichia coli/genética , Pruebas de Aglutinación/métodos , Pruebas de Aglutinación/veterinaria , Animales , China/epidemiología , ADN Bacteriano/análisis , Diarrea/epidemiología , Diarrea/microbiología , Edematosis Porcina/epidemiología , Enterotoxinas/genética , Escherichia coli/genética , Escherichia coli/patogenicidad , Infecciones por Escherichia coli/epidemiología , Infecciones por Escherichia coli/microbiología , Proteínas de Escherichia coli/genética , Proteínas de Escherichia coli/inmunología , Proteínas Fimbrias/genética , Proteínas Fimbrias/inmunología , Fimbrias Bacterianas/genética , Fimbrias Bacterianas/fisiología , Reacción en Cadena de la Polimerasa/métodos , Reacción en Cadena de la Polimerasa/veterinaria , Prevalencia , Toxinas Shiga/genética , Porcinos , Enfermedades de los Porcinos/epidemiología , Factores de Virulencia , Destete
9.
Vet Rec ; 150(2): 35-7, 2002 Jan 12.
Artículo en Inglés | MEDLINE | ID: mdl-11829064

RESUMEN

A PCR was used to determine the genotypic prevalence of five fimbrial adhesins (F4, F5, F6, F41 and F18), two heat-stable enterotoxins (STa and STb), the heat-labile enterotoxin (LT), and the shiga toxin 2e (Stx2e) in 230 isolates of Escherichia coli from postweaning pigs with diarrhoea or oedema disease. Ninety-four (40.9 per cent) of the isolates carried genes for at least one of the fimbrial adhesins or toxins. Genes for the F18 fimbrial adhesin were detected in 18.3 per cent, and genes for F4, F6, F5 and F41 were detected in 10.0 per cent, 4.3 per cent, 1.7 per cent and 0.8 per cent of the isolates, respectively. Genes for STa, STb and LT were detected in 25.7 per cent, 15.2 per cent and 8.7 per cent of the isolates, respectively. Genes for Stx2e were detected in 36 (15.6 per cent) of the isolates, and among them 24 also contained the gene for F18ab and four also contained the gene for F18ac.


Asunto(s)
Adhesinas de Escherichia coli/genética , Toxinas Bacterianas/genética , Diarrea/veterinaria , Edematosis Porcina/genética , Adhesinas de Escherichia coli/aislamiento & purificación , Animales , Toxinas Bacterianas/aislamiento & purificación , Diarrea/epidemiología , Diarrea/genética , Edematosis Porcina/epidemiología , Genotipo , Corea (Geográfico)/epidemiología , Reacción en Cadena de la Polimerasa , Polimorfismo de Longitud del Fragmento de Restricción , Prevalencia , Porcinos
10.
J S Afr Vet Assoc ; 70(2): 100-1, 1999 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-10855832

RESUMEN

From a group of 11 recently weaned pigs, 4 were reported to be sick. Clinical examination of the sick pigs revealed marked dyspnoea, bluish-red discolouration of the skin, incoordination and difficulty in walking. Bacteriological examination of the gut contents of 2 pigs that had died earlier yielded pure cultures of haemolytic Escherichia coli. Post mortem examination of the remaining 2 pigs that died subsequently revealed progressive pulmonary collapse. One of these also showed subcutaneous oedema of the head and marked oedema of the mesentery of the spiral colon and oedema of the brain. Microscopically there was pulmonary alveolar collapse and degenerative changes in the liver. On the basis of the clinical signs, isolation of haemolytic E. coli and the post mortem findings, a diagnosis of oedema disease was made.


Asunto(s)
Edematosis Porcina/etiología , Infecciones por Escherichia coli/etiología , Escherichia coli/aislamiento & purificación , Administración Oral , Animales , Antibacterianos/administración & dosificación , Antibacterianos/uso terapéutico , Encéfalo/patología , Colon , Sulfato de Dihidroestreptomicina/administración & dosificación , Sulfato de Dihidroestreptomicina/uso terapéutico , Quimioterapia Combinada , Disnea/veterinaria , Edematosis Porcina/tratamiento farmacológico , Edematosis Porcina/epidemiología , Infecciones por Escherichia coli/tratamiento farmacológico , Infecciones por Escherichia coli/epidemiología , Furazolidona/administración & dosificación , Furazolidona/uso terapéutico , Inyecciones Intramusculares/veterinaria , Kenia/epidemiología , Hígado/patología , Pulmón/patología , Mesenterio/patología , Penicilina G Procaína/administración & dosificación , Penicilina G Procaína/uso terapéutico , Penicilinas/administración & dosificación , Penicilinas/uso terapéutico , Porcinos
11.
Vet Microbiol ; 30(2-3): 179-90, 1992 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-1557896

RESUMEN

Escherichia coli strains belonging to serogroups O 138 and O 139 isolated from pigs with edema disease, were characterized with respect to the presence of genes encoding Shiga-like toxin I, Shiga-like toxin II and Shiga-like toxin IIv (SLT I, SLT II and SLT IIv). Genes coding for the heat-stable and heat-labile enterotoxins (ST I and LT I) were also detected. Plasmid profiling, restriction enzyme digestion of total DNA, and ribotyping were performed for further characterization of the strains. The oligonucleotide probes applied in this study appeared to be useful tools for detecting genes coding cytotoxins and enterotoxins. DNA from 12 of 16 strains hybridized with two SLT II probes, and DNA from two SLT IIv encoding strains also hybridized with the ST I probe. DNA from one SLT IIv negative strain hybridized with the LT I probe. The results from plasmid profiling, restriction enzyme digestion, and ribotyping were compared with serogrouping in attempts to distinguish between the different E. coli edema disease isolates. Fourteen different plasmid profiles were identified, and as restriction patterns barely did, and ribotyping patterns did not, reveal any information useful for differentiation of the strains beyond serogroup level, plasmid profiling seemed to be the most suitable method for discrimination between the edema disease strains investigated here.


Asunto(s)
ADN Bacteriano/análisis , Brotes de Enfermedades/veterinaria , Edematosis Porcina/microbiología , Infecciones por Escherichia coli/veterinaria , Proteínas de Escherichia coli , Escherichia coli/clasificación , Animales , Toxinas Bacterianas/genética , Desoxirribonucleasas de Localización Especificada Tipo II , Edematosis Porcina/epidemiología , Enterotoxinas/genética , Escherichia coli/genética , Infecciones por Escherichia coli/epidemiología , Infecciones por Escherichia coli/microbiología , Genotipo , Noruega/epidemiología , Hibridación de Ácido Nucleico , Plásmidos , Mapeo Restrictivo , Toxina Shiga I , Toxina Shiga II , Suecia/epidemiología , Porcinos , Estados Unidos/epidemiología
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