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Epidemic Profile of Shiga-Toxin-Producing Escherichia coli O104:H4 Outbreak in Germany NEJM 365:1771-1780, Frank, C.,et al, 2011 See this aricle in Pubmed Article Abstract In this outbreak, caused by an unusual E.coli strain, cases of the hemolytic-uremic syndrome occurred predominantly in adults, with a preponderance of cases occurring in women. The hemolytic-uremic syndrome developed in more than 20% of the identified cases.

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