Emergence of novel strains of Shigella flexneri associated with sexual transmission in adult men in England, 2019-2020.

Timothy JDallman; HannahCharles; MateoProchazka; KatySinka; Gwenda Hughes ORCID logo; GauriGodbole; ClaireJenkins; (2021) Emergence of novel strains of Shigella flexneri associated with sexual transmission in adult men in England, 2019-2020. Journal of Medical Microbiology, 70 (10). ISSN 0022-2615 DOI: 10.1099/jmm.0.001437
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National surveillance of shigellosis in England revealed an increase in sexually transmitted Shigella flexneri in adult males in 2019 that persisted throughout 2020. We observed a resurgence of azithromycin-resistant S. flexneri serotype 3a, and the emergence of two novel multidrug-resistant clades of S. flexneri 2a and S. flexneri 1b.
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