In a follow-up on the multistate outbreak of Salmonella infections linked to kratom, federal health officials are reporting dozens of additional cases, more states and three more strains of Salmonella making people sick have been included in this outbreak.
Forty-seven more ill people have been reported and 8 more states (Alaska, Illinois, Indiana, Maryland, Mississippi, Nevada, Texas, and West Virginia) are included in this outbreak, bringing the total to 87 sick people from 35 states.
Twenty seven people required hospitalization for their illness. No deaths have been reported.
The Centers for Disease Control and Prevention (CDC) also expanded the investigation to include outbreak strains from three additional serotypes of Salmonella: Salmonella Javiana, Salmonella Okatie, and Salmonella Thompson, in addition to Salmonella I 4,,12:b:- .
Epidemiologic and laboratory evidence indicates that kratom is the likely source of this multistate outbreak. No common brands or suppliers of kratom products have been identified at this time.
Because no common source of Salmonella-contaminated kratom has been identified, CDC is recommending against consuming any kratom.
The Food and Drug Administration (FDA) reports twenty-five kratom product samples have tested positive for Salmonella. Three revealed isolates that are genetically related to an outbreak strain, while 22 have tested positive for a non-matching Salmonella, or tested positive for Salmonella and further testing is pending.
CDC advises people to talk to their health care provider before taking any supplement, especially if they are in a group more likely to get a severe Salmonella infection. These groups include people with weakened immune systems, including people who are receiving chemotherapy or have HIV, pregnant women, children younger than 5 years, and older adults.