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© Therese Couderc, Marc Lecuit
Publication : Emerging infectious diseases

Large Nationwide Outbreak of Invasive Listeriosis Associated with Blood Sausage, Germany, 2018-2019.

Scientific Fields
Diseases
Organisms
Applications
Technique

Published in Emerging infectious diseases - 01 Jul 2020

Halbedel S, Wilking H, Holzer A, Kleta S, Fischer MA, Lüth S, Pietzka A, Huhulescu S, Lachmann R, Krings A, Ruppitsch W, Leclercq A, Kamphausen R, Meincke M, Wagner-Wiening C, Contzen M, Kraemer IB, Al Dahouk S, Allerberger F, Stark K, Flieger A,

Link to Pubmed [PMID] – 32568037

Link to DOI [DOI] – 10.3201/eid2607.200225

Emerging Infect. Dis. 2020 Jul; 26(7): 1456-1464

Invasive listeriosis is a severe foodborne infection in humans and is difficult to control. Listeriosis incidence is increasing worldwide, but some countries have implemented molecular surveillance programs to improve recognition and management of listeriosis outbreaks. In Germany, routine whole-genome sequencing, core genome multilocus sequence typing, and single nucleotide polymorphism calling are used for subtyping of Listeria monocytogenes isolates from listeriosis cases and suspected foods. During 2018-2019, an unusually large cluster of L. monocytogenes isolates was identified, including 134 highly clonal, benzalkonium-resistant sequence type 6 isolates collected from 112 notified listeriosis cases. The outbreak was one of the largest reported in Europe during the past 25 years. Epidemiologic investigations identified blood sausage contaminated with L. monocytogenes highly related to clinical isolates; withdrawal of the product from the market ended the outbreak. We describe how epidemiologic investigations and complementary molecular typing of food isolates helped identify the outbreak vehicle.

https://pubmed.ncbi.nlm.nih.gov/32568037