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Distinct Salmonella Enteritidis lineages associated with enterocolitis in high-income settings and invasive disease in low-income settings.

Abstract:
An epidemiological paradox surrounds Salmonella enterica serovar Enteritidis. In high-income settings, it has been responsible for an epidemic of poultry-associated, self-limiting enterocolitis, whereas in sub-Saharan Africa it is a major cause of invasive nontyphoidal Salmonella disease, associated with high case fatality. By whole-genome sequence analysis of 675 isolates of S. Enteritidis from 45 countries, we show the existence of a global epidemic clade and two new clades of S. Enteritidis that are geographically restricted to distinct regions of Africa. The African isolates display genomic degradation, a novel prophage repertoire, and an expanded multidrug resistance plasmid. S. Enteritidis is a further example of a Salmonella serotype that displays niche plasticity, with distinct clades that enable it to become a prominent cause of gastroenteritis in association with the industrial production of eggs and of multidrug-resistant, bloodstream-invasive infection in Africa.
Publication status:
Published
Peer review status:
Peer reviewed

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Publisher copy:
10.1038/ng.3644

Authors



More from this funder
Funding agency for:
Kariuki, S
Grant:
R01 AI099525-02
More from this funder
Funding agency for:
Mather, A
Grant:
BB/M014088/1
More from this funder
Funding agency for:
Mather, A
Feasey, N
Heyderman, R
Grant:
BB/M014088/1
101113/Z/13/Z
101113/Z/13/Z
098051


Publisher:
Nature Publishing Group
Journal:
Nature genetics More from this journal
Volume:
48
Issue:
10
Pages:
1211-1217
Publication date:
2016-08-22
Acceptance date:
2016-07-15
DOI:
EISSN:
1546-1718
ISSN:
1061-4036
Pmid:
27548315


Language:
English
Keywords:
Pubs id:
pubs:640529
UUID:
uuid:7dfb5fb3-3d6a-4f97-bdd4-344a4925e086
Local pid:
pubs:640529
Source identifiers:
640529
Deposit date:
2016-09-06

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