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Clinical Guidance for Listeria Exposure

A national Listeria outbreak linked to Silk® and Great Value plant-based beverages has been declared by the Public Health Agency of Canada. Alberta has one case; Canada has 18 cases, 13 of which resulted in hospitalization and 2 in death.

Risk factors

Individuals most at risk for serious infection are:

  • Neonates
  • People over 60 years of age
  • Those who are immunosuppressed
  • Pregnant people

 

Symptoms

Depending on the type of infection, onset can be anywhere from a few hours to 4-12 weeks. Following are symptoms broken down by infection type:

  • Acute Self-Limited Febrile Gastroenteritis: Fever, diarrhea, nausea, vomiting, headache, muscle pain. Usually resolves without treatment.
  • Invasive Listeriosis (septicemia):  Fever and chills (with or without prior gastrointestinal symptoms)
  • Invasive Listeriosis (meningoencephalitis):  Fever and change in mental status, with or without meningitis (headache, neck stiffness).
  • Infections in pregnancy: Fever, myalgia, abdominal or back pain, nausea, vomiting or diarrhea (usually in third trimester)

 

Recommended approach to those exposed to recalled products

  • Asymptomatic: No testing; counsel on symptoms.
  • Symptomatic with risk factors: Blood cultures, possible stool testing, consider empiric treatment.

 

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