Most people infected with E. coli O157:H7 develop diarrhea (often bloody) and abdominal cramps 2-8 days (3-4 days, on average) after swallowing the organism, but some illnesses last longer and are more severe. Infection is usually diagnosed by stool sample culture. While most people recover within a week, some develop a severe infection. A type of kidney failure called hemolytic uremic syndrome (HUS) can begin as the diarrhea is improving; this can occur among persons of any age but is most common in children under 5 years old and the elderly. Signs and symptoms of HUS may include: fever, abdominal pain, pale skin tone, fatigue and irritability, small, unexplained bruises or bleeding from the nose and mouth, decreased urination and swelling of the face, hands, feet, or entire body.
DeFranco & Sons received the in-shell hazelnuts from other suppliers and growers. In some cases, the in-shell hazelnuts were mixed and packaged with other nuts. The products were subsequently distributed nationwide and to Canada. A complete list of the affected products can be found through the link below. The affected products were distributed between Nov. 2, 2010 and Dec. 22, 2010.
The 50-pound bags of in-shell hazelnuts or mixed nuts with in-shell hazelnuts may have been repacked into smaller packages by other firms or sold from bulk containers to consumers.
The affected nuts may have been sold by retailers nationwide and in Canada.