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Background: Salmonella enterica subsp. enterica serovar Napoli (antigenic formula 1,9,12:l,z13:e,n,x) is a serovar of the O:9 (D1) serogroup. This is a rare serovar, in the US only 19 cases were reported from 1999-2009. In other regions of the world S. Napoli is also rare, except for France, Italy, and Switzerland were it appears to have increased considerably. Recently, it was reported in It was isolated from rucola and in wild birds from Italy.wild bird samples collected in Italy between 2004 and 2014 ()

Animal reservoir: poultry and wild birds have been reported as animal sources of this serovar.

...

Symtpoms: Although it is a nontyphodial Salmonella strain some if its symptoms, including a prolonged incubation period (7–14 days), high fever, bacteremia, and elevated rates of hospitalizations, are similar to those caused by typhoidal Salmonella

Human Outbreaks:

Year

Location

Associated source

Number of cases

1982

England

Chocolate bars

245

2014Milan, ItalyHam47 


Border Rejections:

Year

Location

Associated Source

Number of Cases

2004SloveniaRucola (arugula) from ItalyNA
2006DenmarkBulls blood beet from ItalyNA
2014ItalyRucola saladNA

2022

Finland

Fresh thyme from Italy, packaged in the Netherlands

NA

Relevant links and references:

  1. http://www.ncbi.nlm.nih.gov/pubmed/19534593
  2. http://www.ncbi.nlm.nih.gov/pubmed/6131266
  3. http://www.iss.it/binary/publ/cont/ANN_14_01_14.pdf
  4. http://www.eurosurveillance.org/ViewArticle.aspx?ArticleId=20519
  5. http://online.liebertpub.com/doi/full/10.1089/fpd.2015.2091
  6. http://online.liebertpub.com/doi/full/10.1089/fpd.2016.2206
  7. https://webgate.ec.europa.eu/rasff-window/screen/notification/556383
  8. Gori M, Ebranati E, Scaltriti E, Huedo P, Ciceri G, Elisabetta T, Mirella P, Gianguglielmo Z, Stefano P,
  9. Luca B. 2018. High-resolution diffusion pattern of human infections by Salmonella enterica serovar Napoli in Northern Italy explained through phylogeography. PLOS ONE 13(8): e0202573. https://doi.org/10.1371/journal.pone.0202573
  10. Fisher I, Jourdan-da S, Nathalie H, Herbert W, François-Xavier SH, Danan C, Kérouanton A, Lane C, Dionisi AM, Luzzi I. 2009. Human Infections Due to Salmonella Napoli: A Multicountry, Emerging Enigma Recognized by the Enter-net International Surveillance Network. Foodborne pathogens and disease. 6. 613-9. 10.1089/fpd.2008.0206. 
  11. Mancini L, Marcheggiani S, D'Angelo A, Puccinelli, Camilla C, Filippo R, Flavia D, Elisabetta DM, Dario D, Anna M, Owczarek S, Luzzi Ida. 2014. First isolation of Salmonella enterica serovar Napoli from wild birds in Italy. Annali dell'Istituto superiore di sanità. 50. 96-8. 10.4415/ANN_14_01_14.