RT Journal Article T1 Emerging multidrug-resistant hybrid pathotype shiga toxin-producing escherichia coil O80 and related strains of clonal complex 165, Europe A1 Cointe, Aurélie A1 Birgy, André A1 Mariani-Kurkdjian, Patricia A1 Ligouri, Sandrine A1 Courroux, Céline A1 Blanco Álvarez, Jorge A1 Delannoy, Sabine A1 Fach, Patrick A1 Loukiadis, Estelle A1 Bidet, Philippe A1 Bonacorsi, Stéphane K1 Multidrug-Resistant K1 Hybrid Pathotype Shiga Toxin K1 Coli O80 K1 Clonal Complex 165 AB Enterohemorrhagic Escherichia coli serogroup O80, involvedin hemolytic uremic syndrome associated with extraintestinalinfections, has emerged in France. We obtained circularizedsequences of the O80 strain RDEx444, responsible for hemolytic uremic syndrome with bacteremia, and noncircularizedsequences of 35 O80 E. coli isolated from humans and animals in Europe with or without Shiga toxin genes. RDEx444harbored a mosaic plasmid, pR444_A, combining extraintestinal virulence determinants and a multidrug resistance–encoding island. All strains belonged to clonal complex 165,which is distantly related to other major enterohemorrhagic E.coli lineages. All stx-positive strains contained eae-ξ, ehxA,and genes characteristic of pR444_A. Among stx-negativestrains, 1 produced extended-spectrum β-lactamase, 1 harbored the colistin-resistance gene mcr1, and 2 possessedgenes characteristic of enteropathogenic and pyelonephritisE. coli. Because O80–clonal complex 165 strains can integrate intestinal and extraintestinal virulence factors in combination with diverse drug-resistance genes, they constitutedangerous and versatile multidrug-resistant pathogens PB Centers for Disease Control and Prevention SN 1080-6040 YR 2018 FD 2018 LK http://hdl.handle.net/10347/22913 UL http://hdl.handle.net/10347/22913 LA eng NO Cointe, A., Birgy, A., Mariani Kurkdjian, P., Logouri, S., Courroux, C., Blanco, J. et al. (2018). Emerging multidrug-resistant hybrid pathotype shiga toxin–producing escherichia coli O80 and related strains of clonal complex 165, Europe. Emerg. Infect. Dis., vol. 24,12, 2062-2069 NO We thank Roger Stephan and Lothar Beutin for providing thestrains from Switzerland and Germany, respectively.This work was financed by Fonds d’Etudes et de Recherche duCorps Médical, AP-HP. Work in the Laboratorio de Referenciade Escherichia coli was financed by grant no. ED431C-2017-57from Consellería de Cultura, Educación e OrdenaciónUniversitaria (Xunta de Galicia) and the European RegionalDevelopment Fund DS Minerva RD 24 abr 2026