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<jats:p>In Europe, the number of reported sporadic human cases of <jats:italic>Salmonella</jats:italic> Livingstone infection is low, and outbreaks are rare. We report the largest <jats:italic>S.</jats:italic> Livingstone outbreak described in the literature having an identified source of infection. In February 2001, an increased incidence of infection caused by <jats:italic>S</jats:italic>. Livingstone was observed in Norway and Sweden. By July 2001, 44 cases were notified in Norway and 16 in Sweden. The median age was 63 years, and 40 were women. There were three deaths, and 22 patients were hospitalized. Based on standardized questionnaires and retrospective studies of <jats:italic>S</jats:italic>. Livingstone strains in Norway and Sweden, food items with egg powder were suspected, and <jats:italic>S</jats:italic>. Livingstone was subsequently recovered from a processed fish product at the retail level. Analysis by pulsed-field gel electrophoresis documented that isolates from the fish product belonged to the same clone as the outbreak strain.</jats:p>

Original publication

DOI

10.1017/s0950268804002523

Type

Journal

Epidemiology and Infection

Publisher

Cambridge University Press (CUP)

Publication Date

10/2004

Volume

132

Pages

889 - 895