“…These serogroups may cause diarrheal diseases less severe than cholera and do not present epidemic potential (Wong et al, 2012). Although they normally do not produce a cholera toxin, they carry other virulent factors involved in the pathogenicity, including the production of hemolysins, proteases, hemagglutinins, and may have multiple drug resistance (Oufdou and Mezrioui, 2012). It is reported that in aquatic environment, one serogroup can be converted to another by homologous recombinations, or by mutation and/or rearrangement, as noticed in O139 lineage (Blokesch and Schoolnik, 2007).…”