Escherichia coli is the predominant facultative anaerobe of the normal colon flora. However, particular clones can cause sepsis, urinary tract infection, and diarrheal disease. The diarrheagenic E. coli (DEC) are classified according to pathogenicity as enteropathogenic E. coli (EPEC), enterotoxigenic E. coli (ETEC), enteroinvasive E. coli (EIEC), enterohemorrhagic E. coli (EHEC), and enteroaggregative E. coli (EAggEC) (36).Colonization of the human intestine is an essential part of the infection process. Diffusely adherent E. coli (DAEC) can bind to HEp-2 cells (46) and represent a putative sixth DEC class. Their role in diarrheal disease, however, has been controversial (11,18,25). Several groups have used age-dependent susceptibility to explain epidemiological discrepancies, since a positive association with diarrhea was found when study populations were age-stratified (1,18,20,35,47).Clinical microbiologists have to hesitate to classify the DAEC isolates as causative agents. DAEC probably comprise a heterogeneous group of organisms with variable enteropathogenicity (45). Measuring diffuse adhesion alone is insufficient to evaluate the diarrheagenicity of strains and other distinguishing characteristics are needed. About 90% of uropathogenic E. coli colonize on urinary tract epithelial cells by recog-