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. 2016 Sep 5;38(4):331–340. doi: 10.1016/j.bjhh.2016.07.005

Table 4.

Examples of associations between some histo-blood group phenotypes and microorganisms.

Microorganisms Histo-blood group phenotypes Biological effects
Gastrointestinal tract
 Helicobacter pylori O, Le(a−b+) Peptic ulcers, Gastritis
 Escherichia coli B Gastrointestinal infection
 Giardia lamblia A Re-infestation
 Toxoplasma gondii B Not determined
 Candida albicans O, non-secretor Gastric inflammation
 Vibrio cholera O, Le(a+b−) Severe diarrhea
 Salmonella typhimurium B Typhoid fever
 Norovirus Non-secretor Gastroenteritis



Respiratory tract
 Streptococcus pneumoniae A and O Pneumonia
 Streptococcus pyogenes A, non-secretor Rheumatic fever
 Influenza A O Influenza
 Mycobacterium tuberculosis O Tuberculosis



Genitourinary tract
 Escherichia coli A, B, Le(a+b−) Urinary infection
 Pseudomonas aeruginosa B Upper urinary infection
 Neisseria gonorrhoeae B Urethral infection

Source: Adapted from Blackwell et al.44