The case count to the multistate outbreak of Cyclospora infections linked to McDonald’s salads has risen by 41 cases, according to a Centers for Disease Control and Prevention (CDC) update Thursday.

A total of 436 laboratory-confirmed cases were reported by 15 states. To date, there have been 20 hospitalizations from this outbreak, and no deaths.

Last month, the Food and Drug Administration (FDA) completed analysis of an unused package of romaine lettuce and carrot mix distributed to McDonald’s by the Fresh Express processor in Streamwood, IL. The analysis confirmed the presence of Cyclospora in that mix.

Fresh Express pulled the salad mix during the last week of July from McDonald’s and said no romaine lettuce from the lot infected with Cyclospora was sold to direct retail sale consumers.

Image/CDC
Image/CDC