1887
Rapid communication Open Access
Like 0

Abstract

We report an outbreak of Shiga toxin-producing (STEC) associated paediatric haemolytic uraemic syndrome linked to the consumption of raw cow’s milk soft cheeses. From 25 March to 27 May 2019, 16 outbreak cases infected with STEC O26 (median age: 22 months) were identified. Interviews and trace-back investigations using loyalty cards identified the consumption of raw milk cheeses from a single producer. Trace-forward investigations revealed that these cheeses were internationally distributed.

Loading

Article metrics loading...

/content/10.2807/1560-7917.ES.2019.24.22.1900305
2019-05-30
2019-11-12
http://instance.metastore.ingenta.com/content/10.2807/1560-7917.ES.2019.24.22.1900305
Loading
Loading full text...

Full text loading...

/deliver/fulltext/eurosurveillance/24/22/eurosurv-24-22-2.html?itemId=/content/10.2807/1560-7917.ES.2019.24.22.1900305&mimeType=html&fmt=ahah

References

  1. Bruyand M, Mariani-Kurkdjian P, Le Hello S, King LA, Van Cauteren D, Lefevre S, et al. Paediatric haemolytic uraemic syndrome related to Shiga toxin-producing Escherichia coli, an overview of 10 years of surveillance in France, 2007 to 2016. Euro Surveill. 2019;24(8):1800068.  https://doi.org/10.2807/1560-7917.ES.2019.24.8.1800068  PMID: 30808442 
  2. Ministère de l’agriculture et de l’alimentation. Retrait et rappel de fromages Saint-Félicien et Saint-Marcellin de la Société Fromagerie Alpine à Romans-sur-Isère. [Recall of Saint-Félicien and Saint-Marcellin cheeses produced by Fromagerie Alpine in Romans-sur-Isère]. Paris: Ministère de l’agriculture et de l’alimentation; [accessed 27 Apr 2019]. French. Available from: https://agriculture.gouv.fr/retrait-et-rappel-de-fromages-saint-felicien-et-saint-marcellin-de-la-societe-fromagerie-alpine
  3. Jones G, Pardos de la Gandara M, Herrera-Leon L, Herrera-Leon S, Varela Martinez C, Hureaux-Roy R, et al. Outbreak of Salmonella enterica serotype Poona in infants linked to persistent Salmonella contamination in an infant formula manufacturing facility, France, August 2018 to February 2019. Euro Surveill. 2019;24(13):1900161.  https://doi.org/10.2807/1560-7917.ES.2019.24.13.1900161  PMID: 30940315 
  4. Joensen KG, Tetzschner AM, Iguchi A, Aarestrup FM, Scheutz F. Rapid and easy in silico serotyping of Escherichia coli using whole genome sequencing (WGS) data. J Clin Microbiol. 2015;53(8):2410-26.  https://doi.org/10.1128/JCM.00008-15  PMID: 25972421 
  5. Zhou Z, Alikhan NF, Mohamed K, the Agama study group. Achtman M. The user’s guide to comparative genomics with EnteroBase. Three case studies: micro-clades within Salmonella enterica serovar Agama, ancient and modern populations of Yersinia pestis, and core genomic diversity of all Escherichia. 2019. bioRxiv.613554. Preprint.
  6. Ministère de l’agriculture et de l’alimentation. La Fromagerie Alpine: informations complémentaires sur les fromages au lait cru concernés par le rappel. [Fromagerie Alpine: additional information regarding the recalled raw milk cheeses]. Paris: Ministère de l’agriculture et de l’alimentation; [accessed 2 May 2019]. French. Available from: https://agriculture.gouv.fr/la-fromagerie-alpine-informations-complementaires-sur-les-fromages-au-lait-cru-concernes-par-le
  7. European Commission (EC). Rapid Alert System for Food and Feed (RASFF) portal. Foodborne outbreak suspected to be caused by shigatoxin-producing Escherichia coli (O26 stx2 eae+) in raw milk cheese from France. Brussels: EC; [accessed 30 Apr 2017]. Available from: https://webgate.ec.europa.eu/rasff-window/portal/?event=notificationDetail&NOTIF_REFERENCE=2019.1615.
  8. Santé publique France. Epidémie de syndrome hémolytique et urémique pédiatrique à Eschericia coli O26 en France métropolitaine en lien avec la consommation de reblochon: point au 31 mai 2018. [Outbreak of pediatric haemolytic uremic syndrome associated with Eschericia coli O26 in France and linked to the consumption of reblochon cheese: update on 31 May 2018]. Paris: Santé publique France; 2018. French. Available from: https://santepubliquefrance.fr/Actualites/Epidemie-de-syndrome-hemolytique-et-uremique-pediatrique-a-Escherichia-coli-O26-en-France-metropolitaine-en-lien-avec-la-consommation-de-reblochon-point-au-31-mai-2018
  9. Santé publique France. Deux cas de syndrome hémolytique et urémique en lien probable avec la consommation de reblochon contaminé. [Two cases of haemolytic uremic syndrome with a probable link to the consumption of contaminated reblochon cheese]. Paris: Santé publique France; 2019. Available from: https://www.santepubliquefrance.fr/Actualites/Deux-cas-de-syndrome-hemolytique-et-uremique-en-lien-probable-avec-la-consommation-de-reblochon-contamine
  10. Institut Pasteur. Surveillance du syndrome hémolytique et urémique post-diarrhéique chez les enfants de moins de 15 ans en France en 2013 [Surveillance of post-diarrheal haemolytic uremic syndrome in children under 15 in France in 2013]. Paris: Institut Pasteur; French. Available from: http://invs.santepubliquefrance.fr/content/download/89107/326438/version/1/file/Bilan_SHU_2013.pdf
/content/10.2807/1560-7917.ES.2019.24.22.1900305
Loading

Data & Media loading...

Comment has been disabled for this content
Submit comment
Close
Comment moderation successfully completed
This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error