Outbreak of Shiga toxin-producing Escherichia coli (STEC) O26 paediatric haemolytic uraemic syndrome (HUS) cases associated with the consumption of soft raw cow’s milk cheeses, France, March to May 2019

Author:

Jones Gabrielle1,Lefèvre Sophie2,Donguy Marie-Pierre3,Nisavanh Athinna1,Terpant Garance4,Fougère Erica4,Vaissière Emmanuelle4,Guinard Anne5,Mailles Alexandra1,de Valk Henriette1,Fila Marc6,Tanné Corentin78,Le Borgne Caroline9,Weill François-Xavier2,Bonacorsi Stéphane10,Jourdan-Da Silva Nathalie1,Mariani-Kurkdjian Patricia10

Affiliation:

1. Santé publique France, Saint-Maurice, France

2. Institut Pasteur, Centre National de Référence des Escherichia coli, Shigella et Salmonella, Paris, France

3. French Ministry of Agriculture, Agrifood and Forestry, Paris, France

4. Santé publique France, Auvergne-Rhône-Alpes region, France

5. Santé publique France, Occitanie region, France

6. Paediatric Nephrology Unit, CHU Arnaud de Villeneuve-Université de Montpellier, Montpellier, France

7. Faculté de Médecine Lyon Est, Université Lyon 1, Lyon, France

8. Centre de Référence des Maladies Rénales Rares, Hôpital Femme Mère Enfant, Bron, France

9. French Ministry of Health, Paris, France

10. Department of Microbiology, Robert-Debré Hospital, AP-HP, Paris, France

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.

Publisher

European Centre for Disease Control and Prevention (ECDC)

Subject

Virology,Public Health, Environmental and Occupational Health,Epidemiology

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