Comparison of Genotypes of Salmonella enterica Serovar Enteritidis Phage Type 30 and 9c Strains Isolated during Three Outbreaks Associated with Raw Almonds

In 2000 to 2001, 2003 to 2004, and 2005 to 2006, three outbreaks of Salmonella enterica serovar Enteritidis were linked with the consumption of raw almonds. The S. Enteritidis strains from these outbreaks had rare phage types (PT), PT30 and PT9c. Clinical and environmental S. Enteritidis strains were subjected to pulsed-field gel electrophoresis (PFGE), multilocus variable-number tandem repeat analysis (MLVA), and DNA microarray-based comparative genomic indexing (CGI) to evaluate their genetic relatedness. All three methods differentiated these S. Enteritidis strains in a manner that correlated with PT. The CGI analysis confirmed that the majority of the differences between the S. Enteritidis PT9c and PT30 strains corresponded to bacteriophage-related genes present in the sequenced genomes of S. Enteritidis PT4 and S. enterica serovar Typhimurium LT2. However, PFGE, MLVA, and CGI failed to discriminate between S. Enteritidis PT30 strains related to outbreaks from unrelated clinical strains or between strains separated by up to 5 years. However, metabolic fingerprinting demonstrated that S. Enteritidis PT4, PT8, PT13a, and clinical PT30 strains metabolized l-aspartic acid, l-glutamic acid, l-proline, l-alanine, and d-alanine amino acids more efficiently than S. Enteritidis PT30 strains isolated from orchards. These data indicate that S. Enteritidis PT9c and 30 strains are highly related genetically and that PT30 orchard strains differ from clinical PT30 strains metabolically, possibly due to fitness adaptations.Salmonella enterica is one of the major causes of bacterial food-borne illness worldwide. Many serovars of S. enterica serovar Enteritidis emerged as serious problems in the human food supply during the 1980s, and these cases were associated mostly with undercooked eggs and poultry (26). The phage typing of S. Enteritidis strains associated with egg-associated outbreaks had indicated that phage types 8 (PT8) and PT13a were the most common PTs in the United States (12), and PT4 was the most common in Europe (22). Through education and quality improvements, the incidence of S. Enteritidis due to egg products has decreased in the United States (18). However, several recent outbreaks have identified new sources for S. Enteritidis, specifically mung bean sprouts, tomatoes, and raw whole almonds (3, 13, 31).At the time of the 2001 outbreak, almonds and other low-moisture foods were considered an unlikely source of food-borne illness. Almonds are California''s major tree nut crop and have ranked first in California agricultural exports for many years, accounting for 60% of world production in 2000 (14) and 80% in 2008 (http://www.almondboard.com/AboutTheAlmondBoard/Documents/2008-Almond-Board-Almanac.pdf). However, no outbreaks associated with almonds had been reported before 2001. In the spring of 2001, Canadian health officials identified a link between illnesses caused by S. Enteritidis and the consumption of raw almonds (6). Outbreak-related cases were identified from November 2001 to July 2001 in several provinces across Canada and in several regions in the United States (13). During the traceback investigation, almond retailers, processors, and growers were identified, and S. Enteritidis PT30 was cultured from almond samples, a huller/sheller facility, and environmental samples from the orchards (30). The ability to identify the contaminated food source for this outbreak was aided significantly by the previously rare occurrence of S. Enteritidis PT30. S. Enteritidis PT30 continued to be isolated from one of the outbreak-associated orchards during a 5-year period, suggesting that this organism was highly fit for persistence in this environment (30).In 2004, another rare S. Enteritidis PT (PT9c) was linked to a second outbreak associated with raw almonds. Similarly to the first outbreak, both phage typing and pulsed-field gel electrophoresis (PFGE) aided the identification of related cases caused by S. Enteritidis PT9c that occurred over a large geographical region of the United States and Canada (3). A third S. Enteritidis PT30 outbreak associated with raw almonds was reported in Sweden in 2005 to 2006 (15).We have characterized, by molecular methods, S. Enteritidis strains recovered from clinical, almond, and orchard samples related to these three outbreaks to determine whether they were related genotypically. Additional S. Enteritidis strains representing some common phage types also were examined for comparison. Strains were genotyped by PFGE profiling, multilocus variable-number tandem repeat analysis (MLVA), and comparative genomic indexing (CGI) with a S. enterica serovar Typhimurium LT2/Enteritidis PT4 microarray to determine relatedness and whether an association with the source could be determined.