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CDC Advisory: Third Case of Rifampin/Penicillin-Resistant Strain of RB51 Brucella from Consuming Raw Milk

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CDC HEALTH ADVISORY

Distributed via the CDC Health Alert Network | January 23, 2019 1430 ET (2:30 PM ET) | CDCHAN-00417

Summary

The New York State Department of Health and Pennsylvania Department of Health are investigating Brucella RB51 exposures that may be connected to consuming raw (unpasteurized) milk from Miller’s Biodiversity Farm in Quarryville, Pennsylvania. Symptoms of brucellosis can include fever, sweats, malaise, anorexia, headache, fatigue, muscle and joint pain, and potentially more serious complications (e.g., endocarditis, hepatomegaly, splenomegaly, and neurologic symptoms). In pregnant patients, Brucella infections can be associated with miscarriage. Symptom onset can occur anywhere from five days to six months following exposure. As of January 22, 2019, exposures have been identified in 19 states: Alabama, California, Connecticut, Florida, Georgia, Iowa, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Rhode Island, South Carolina, and Virginia.

See attachment for full advisory

Direct any questions regarding this advisory to the Florida Department of Health in Pinellas County Epidemiology Program at 727-824-6932.

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