We report a fatal case of hemolytic uremic syndrome with urinary tract infection in Japan caused by Shiga toxin-producing Escherichia coli. We genotypically identified the isolate as OX18:H2. Whole-genome sequencing revealed 3 potentially pathogenic lineages (OX18:H2, H19, and H34) that have been continuously isolated in Japan.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8084502PMC
http://dx.doi.org/10.3201/eid2705.204162DOI Listing

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