Enterotoxigenic Escherichia coli (ETEC) strains, which colonize host small intestines and produce one or more enterotoxins, are a major cause of diarrheal disease (40). ETEC strains are responsible for hundreds of thousands of deaths each year worldwide, in addition to causing over one billion diarrheal episodes in immunocompromised individuals, international travelers, and deployed military personnel (14,33,38). The virulence determinants of ETEC in diarrhea disease are bacterial adhesins (colonization factor antigens [CFAs] and E. coli surface antigens) and enterotoxins known as heatlabile (LT) and heat-stable (ST) toxins (5,13,26,38,41). ETEC adhesins mediate initial bacterial attachment to host epithelial cells and subsequent colonization of small intestines. LT and ST type I (STa) enterotoxins disrupt fluid homeostasis and cause hypersecretion of fluid and electrolytes through activation of adenylate cyclase (by LT) or guanylate cyclase (by STa) in host small intestinal epithelial cells. Epidemiological and clinical studies indicated that approximately one-half of the ETEC strains isolated from diarrheal patients produce STa toxin only, one-quarter express LT toxin only, and one-quarter produce both toxins (13, 30,