A multistate outbreak of extensively drug-resistant Salmonella infections is currently under investigation by the Centers for Disease Control and Prevention (CDC) and the Food and Drug Administration (FDA), with cases linked to Rosabella brand moringa powder capsules. As of , seven cases have been reported across seven states, resulting in three hospitalizations. No deaths have been reported.
What You Need to Know
The outbreak strain of Salmonella, identified as Salmonella Newport, exhibits resistance to many commonly used antibiotics, including first-line treatments and some alternative options. This poses a significant challenge for treatment, potentially leading to more severe illness and prolonged recovery. The CDC notes the strain may also be resistant to multiple beta-lactam antibiotics, such as meropenem and other carbapenems.
The Source of the Outbreak
The investigation has identified Rosabella brand moringa powder capsules, distributed by Ambrosia Brands LLC, as the likely source of the outbreak. The affected capsules are packaged in white plastic bottles with a green label and are primarily sold online through the company’s website (tryrosabella.com), Amazon, TikTok Shop, Shein, and eBay.
A recall has been initiated for 52 lot codes of Rosabella brand moringa powder capsules with expiration dates in 2027. Consumers can find the lot code on the bottom of the bottle. A comprehensive list of affected lot codes is available on the FDA website.
What to Do If You Have Affected Capsules
The CDC and FDA strongly advise consumers to immediately stop using any Rosabella brand moringa powder capsules covered by the recall. The agency recommends discarding the capsules or returning them to the place of purchase. We see also crucial to thoroughly wash any surfaces or items that may have come into contact with the capsules using hot, soapy water or a dishwasher.
Symptoms of Salmonella Infection
Salmonella infection typically causes symptoms within 12 to 72 hours after exposure, lasting four to seven days. Common symptoms include diarrhea, fever, and abdominal cramps. While most individuals recover without medical intervention, severe infections are more likely in young children, the elderly, and individuals with weakened immune systems. Anyone experiencing severe symptoms, such as high fever, dehydration, or bloody diarrhea, should seek medical attention.
Antibiotic Treatment Considerations
The CDC notes that while most Salmonella infections resolve on their own, the antibiotic resistance profile of this particular strain necessitates careful consideration when treatment is required. Antibiotic treatment should ideally be guided by antimicrobial susceptibility testing to ensure the chosen medication is effective. Consultation with an infectious disease specialist may be beneficial in complicated or extensively drug-resistant cases.
Separate, Earlier Outbreak
this outbreak is distinct from a previously investigated outbreak of Salmonella infections linked to dietary supplements containing moringa leaf powder, which was identified in . The CDC emphasizes that these are two separate investigations.
Ongoing Investigation
The CDC, in collaboration with state and local health departments and the FDA, continues to investigate the outbreak to identify the source of contamination and prevent further illnesses. The investigation includes collecting and analyzing data from sick individuals, tracing the supply chain of the affected product, and conducting laboratory testing. The true number of illnesses is likely higher than reported, as many people with mild infections do not seek medical care or undergo testing.
The CDC states that illnesses reported in this outbreak started on dates ranging from , through . Public health officials are collecting demographic information and data on food consumption to further pinpoint the source of the outbreak.
