Table 3.
Patient | Age (years) | Pregnancy-associated? | Clinical syndrome | Outcome | Type of cheese consumed | No. of days consumed | Estimated incubation period (days)* |
---|---|---|---|---|---|---|---|
1 | 68 | No | Meningitis | Survived | l’Édel de Cléron, blue† | ⩽13 | 12 |
2‡ | 86 | No | Bacteraemia | Died | Ricotta salata§ or cross-contaminated menu item | 2 | 7 |
3 | 65 | No | Meningitis | Survived | Blue | ⩽7 | 7|| |
4 | 82 | No | Bacteraemia | Survived | Brie | 26 | |
5 | 56 | No | Bacteraemia | Survived | Ricotta salata§ | 3 | 2 |
6 | 30 | No | Meningitis | Survived | Ricotta salata§ | 1 | 3 |
7 | 38 | Yes | – | Infant died | Ricotta salata§ | ⩽7 | 14 |
8 | 29 | Yes | – | Delivered healthy baby | Ricotta salata§ | 8 | |
9 | 29 | Yes | – | Delivered healthy baby | Ricotta salata§ | 2 | 3 |
The first date of consumption was used for patients reporting they may have consumed cheese on multiple days.
The index patient was included in analysis (even though multiple cut and repackaged cheeses were reportedly consumed) because both the l’Édel de Cléron and blue cheese, which were contaminated with the outbreak strain, were bought on the same day.
Patient 2 dined at a restaurant on 21 and 22 March. Records show Marte Brand Frescolina Ricotta Salata was delivered to the restaurant 20 March and used in several menu items. Whether the patient consumed ricotta salata or a cross-contaminated menu item is unknown.
Italian-imported Marte Brand Frescolina Ricotta Salata.
An estimate of 7 days between purchase and illness onset was used for one patient who reported purchasing a cut and repackaged cheese the week before illness onset.