ABSTRACT
We report an outbreak of Shiga toxin-producing Escherichia coli (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.
Subject(s)
Cheese/poisoning , Escherichia coli Infections/diagnosis , Hemolytic-Uremic Syndrome/diagnosis , Milk/poisoning , Shiga-Toxigenic Escherichia coli/isolation & purification , Animals , Cattle , Cheese/microbiology , Child, Preschool , Escherichia coli Infections/epidemiology , Escherichia coli Proteins/isolation & purification , Female , France/epidemiology , Hemolytic-Uremic Syndrome/epidemiology , Humans , Infant , Male , Milk/microbiologyABSTRACT
During June 2017-April 2018, active tuberculosis with Beijing SIT1 isolates was diagnosed in 14 persons living in 4 distant cities in France. Whole-genome sequencing indicated that these patients belonged to a single transmission chain. Whole-genome sequencing-based laboratory investigations enabled prompt tracing of linked cases to improve tuberculosis control.
