Db. Schauer et al., PROLIFERATIVE ENTEROCOLITIS ASSOCIATED WITH DUAL INFECTION WITH ENTEROPATHOGENIC ESCHERICHIA-COLI AND LAWSONIA-INTRACELLULARIS IN RABBITS, Journal of clinical microbiology, 36(6), 1998, pp. 1700-1703
Both enteropathogenic Escherichia coli (EPEC) and an obligate intracel
lular bacterium, previously referred to as an intracellular Campylobac
ter-like organism and now designated Lawsonia intracellularis, have be
en reported as causes of enterocolitis in rabbits. An outbreak of ente
rocolitis in a group of rabbits, characterized by an unusually high ra
te of mortality, was found to be associated with dual infection with E
PEC and L. intracellularis. The EPEC strain was found to have eaeA gen
e homology but was negative for afrA homology, The absence of the afrA
gene, which encodes the structural subunit for the AF/R1 pilus, indic
ates that this rabbit EPEC strain is distinct from the prototypic RDEC
-1 strain. This finding suggests that rabbit EPEC strains widely repor
ted in Western Europe, which lack AF/R1 pill, are also present in rabb
its in the United States. Dual infection with these two pathogens in r
abbits has not been previously reported and may have contributed to th
e unusually high mortality observed in this outbreak.