27 sickened including 11 pregnancies in two outbreaks of Listeria, Northern Spain 2013

In the province of Gipuzkoa, Spain (≈700,000 inhabitants), 7–12 episodes of human listeriosis were recorded annually during 2009–2012. However, during January 2013–February 2014, 27 episodes were detected, including 11 pregnancy-associated cases.

amy.pregnant.listeriaAll cases produced sepsis in the patients, except 1 case that produced diarrheal disease in a 34-year-old parturient woman who had undergone a splenectomy. Eleven episodes (40.7%) occurred in pregnant or parturient women, and 8 of the children of these patients were affected: 5 newborns (4 of them premature infants) became ill, 2 pregnancies ended in miscarriage, and 1 infant was stillborn.

Fifteen cases in 2 epidemiologically unrelated outbreaks were caused by a rare type of Listeria monocytogenes, sequence type 87 serotype 1/2b. 

Emerging Infectious Diseases, Volume 20, Number 12—December 2014 [ahead of print]

Pérez-Trallero E, Zigorraga C, Artieda J, Alkorta M, Marimón JM

http://wwwnc.cdc.gov/eid/article/20/12/14-0993_article