Background: Enterobacterial common antigen (ECA) is a surface antigen of all enteric bacteria. Results: ECA polysaccharide substitutes the outer core region of Shigella sonnei lipopolysaccharide (LPS). Conclusion: First structural evidence for the existence of ECA covalently associated with LPS (ECA LPS ). Significance: ECA LPS is the only immunogenic form of ECA and could be a target for therapeutic strategies against nosocomial infections.