Abstract

In November 2016, an elderly patient was diagnosed with Listeria monocytogenes bacteremia in Finland. Grocery store loyalty card records and microbiological investigation of foods found in the home fridge and freezer of the patient revealed commercial, modified-atmosphere packaged meatballs as the source of the infection. Investigation of the meatball production plant revealed that the floor drain samples were contaminated with the same L. monocytogenes strain as those isolated from the patient and meatballs. Ready-to-eat meatballs were likely contaminated after heat treatment from the production environment before packaging. Long-term cold storage, modified-atmosphere conditions, and the absence of competing bacteria presumably enhanced the growth of L. monocytogenes. We recommend that collection of shopping details and home fridge and freezer sampling should be part of surveillance of all cases of L. monocytogenes infections to complement information obtained from in-depth interviews.

Highlights

  • Listeriosis is a severe, mainly foodborne infectious disease [1]

  • Trace Back of Foods and L. monocytogenes Isolates Recovered From Food and the Food Production Environment

  • Commercial, modified-atmosphere packaged meatballs stored in the home freezer of a patient were identified as a vehicle for human listeriosis

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Summary

Introduction

Listeriosis is a severe, mainly foodborne infectious disease [1]. Susceptible populations include the immunocompromised, newborns, pregnant women, and the elderly [5]. An increasing trend in human listeriosis has been observed in the EU since 2008 and the majority of cases are reported in persons >64 years old [6]. This is probably due to increases in both the aging and immunocompromised populations and the increased use of risk foods such as ready-toeat (RTE) foods with modified-atmosphere packaging and extended durability [6,7,8]. The course of illness is often severe; most patients develop sepsis or meningitis and the mortality is approximately

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