Enterohemorrhagic Escherichia coli (EHEC) strains of serogroup O145 are emerging as causes of diarrhea and the hemolytic-uremic syndrome. However, there have been few genetic analyses of this EHEC group. We investigated the serotypes, virulence genes, plasmid profiles, pulsed-field gel electrophoresis (PFGE) patterns, and genetic variability of the fliC and eae genes in 120 EHEC O145 strains isolated from cases of hemolyticuremic syndrome (n ؍ 24) or diarrhea (n ؍ 96) in Germany between 1996 and 2002. Three isolates belonged to serotype O145:H28, one to serotype O145:H25, and 116 were nonmotile (O145:H ؊ ). One hundred fourteen of the nonmotile strains shared fliC restriction fragment length polymorphism (RFLP) patterns identical to that of the O145:H28 strains. The remaining two nonmotile strains displayed a fliC-RFLP pattern identical to that of the O145:H25 strain. Each of the 117 strains with the fliC-RFLP H28 pattern harbored eae ␥, whereas the three strains with the fliC-RFLP H25 pattern possessed eae . Five different stx genotypes, six combinations of plasmid-encoded putative virulence genes, 29 plasmid profiles, and 47 PFGE types were identified. Strains within some of the PFGE types could be further subtyped by means of distinct plasmid profiles. These data demonstrate that the EHEC O145 serogroup is comprised of two different serotypes that possess distinct eae types. The heterogeneity of EHEC O145 strains at the chromosomal and plasmid level, in particular the high diversity in PFGE patterns, provides a basis for molecular subtyping of these pathogens.Enterohemorrhagic Escherichia coli (EHEC) O145 strains were among the first six serogroups isolated from patients with hemolytic-uremic syndrome by Karmali and colleagues (13). Recently, E. coli O145 has emerged as one of the most important non-O157 serogroups associated with diarrhea and hemolytic-uremic syndrome in Europe (1,4,6,7,8,34). A large outbreak of EHEC O145 infection has been reported from Japan (15), and this serotype has also been recovered recently in the United States (11). Some EHEC O145 strains isolated from patients possess the H28 flagellar antigen (4), but the majority of these isolates are nonmotile (8). The same observation has been reported for EHEC O145 strains isolated from cattle (9, 21), which are a potential reservoir of these pathogens for humans.The nonmotility of the majority of EHEC O145 strains isolated from humans and animals complicates classic serotyping and hampers investigations of the population structure of EHEC O145 strains. Moreover, the inability to categorize more thoroughly strains expressing the O145 antigen makes it difficult to study the epidemiology of infections caused by these pathogens, including identifying reservoirs and sources of the infection for humans and modes of transmission. Recently, restriction fragment length polymorphism (RFLP) analysis of the flagellin-encoding (fliC) gene was used to identify and characterize the flagellin-encoding subunit of H antigen (5,23,39). This demonstrated ...