Diarrhea, bacteremia and multiorgan dysfunction due to an extraintestinal pathogenicEscherichia colistrain with enteropathogenicE. coligenes

A 55-year-old man with well-controlled HIV had severe diarrhea for 3 weeks and developed multiorgan dysfunction and bacteremia due to Escherichia coli. The genome of the patient's isolate had features characteristic of extraintestinal pathogenic E. coli and genes distantly related to those defining enteropathogenic E. coli.