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. 2013;19(9):1514-7.
doi: 10.3201/eid1909.130334.

Gastroenteritis outbreak associated with unpasteurized tempeh, North Carolina, USA

Stephanie E Griese, Aaron T Fleischauer, Jennifer K MacFarquhar, Zackary Moore, Cris Harrelson, Anita Valiani, Sue Ellen Morrison, David Sweat, Jean-Marie Maillard, Denise Griffin, Debra Springer, Matthew Mikoleit, Anna E Newton, Brendan Jackson, Thai-An Nguyen, Stacey Bosch, Megan Davies

Gastroenteritis outbreak associated with unpasteurized tempeh, North Carolina, USA

Stephanie E Griese et al. Emerg Infect Dis. 2013.

Abstract

During an investigation of an outbreak of gastroenteritis caused by Salmonella enterica serovar Paratyphi B variant L(+) tartrate(+), we identified unpasteurized tempeh as a novel food vehicle and Rhizopus spp. starter culture as the source of the contamination. Safe handling of uncooked, unpasteurized tempeh should be emphasized for prevention of foodborne illnesses.

Keywords: North Carolina; Salmonella enterica serovar Paratyphi B; Salmonella spp.; bacteria; enteric infections; food handling; foodborne illness; gastroenteritis; salmonellosis; soy foods; tempeh.

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Figures

Figure 1
Figure 1
Cases of Salmonella enterica serovar Paratyphi B variant L(+) tartrate(+) gastroenteritis, by date of symptom onset, North Carolina, USA, February 29–May 8, 2012. For comparison, the date that the manufacturer of Brand A tempeh changed Rhizopus spp. starter culture vendors and dates of public notifications and recalls are indicated.
Figure 2
Figure 2
Pulse-field gel electrophoresis dendrogram showing Xba1 enzyme band patterns for 8 case-patients, tempeh, and Rhizopus spp. starter culture associated with outbreak of Salmonella enterica serovar Paratyphi B variant L(+) tartrate(+) gastroenteritis, by date of symptom onset, North Carolina, USA, 2012.
See this image and copyright information in PMC

References

    1. Scallan E, Hoekstra RM, Angulo FJ, Tauxe RV, Widdowson MA, Roy SL, et al. Foodborne illness acquired in the United States—major pathogens. Emerg Infect Dis. 2011;17:7–15 . - PMC - PubMed
    1. Centers for Disease Control and Prevention. Surveillance for foodborne disease outbreaks—United States, 2008. MMWR Morb Mortal Wkly Rep. 2011;60:1197–202 . - PubMed
    1. Centers for Disease Control and Prevention. National Salmonella surveillance annual data summary, 2009. Atlanta: The Centers; 2011.
    1. North Carolina Department of Agriculture & Consumer Services, Public Affairs Division. Asheville company recalls tempeh after tests detect presence of Salmonella. Raleigh (NC): The Department; 2012. [cited 2013 Jan 23]. http://www.ncagr.gov/paffairs/release/2012/4-12tempehrecall.htm
    1. Food and Drug Administration. IndonesianFoodMart.com recalls “tempeh starter yeast” because of health risk of Salmonella. Silver Spring (MD): The Administration; 2012. [cited 2013 Jan 23]. http://www.fda.gov/Safety/Recalls/ucm305247.htm

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