The predominant combination (i.e. pattern) of virulence genes was alt/ela/lip/fla (pattern1), which presented in 27.0% of patients presenting with an infection related to a isolate of Aeromonas. In addition, the patterns of act/fla (pattern 2), alt/ela/lip (pattern 3) and act/ascF-G/fla (pattern 4) were prevalent among patients.. As presented in Table 3, the pattern of virulence genes varied among genus’s. Here, APELA is linked to infection.