Background: Salmonella enterica subsp. enterica serovar I 4,[5],12:i:- (antigenic formula: 1,4,[5],12:i:-) is a variant of Salmonella Typhimurium (O:4 (B) serogroup). S. I 4,[5],12:i:- is a monophasic serovar that lacks the second flagellar antigen (i.e., antigen 1,2 in serovar Typhimurium). One of the earliest documented S. I 4,[5],12:i:- isolates in Europe, as reported in peer-reviewed literature, was recovered from a chicken carcass in Portugal during 1986/87This serovar emerged as a common serovar after 1990’s. S. I 4,[5],12:i:- ranked as the sixth most frequent Salmonella serotype associated with human illness in the United States in 2006. Similarly, it was the fourth most common serotype identified in human isolates in Spain in 1998.

NCBI PD link for serovar I 4,[5],12:i:-: https://www.ncbi.nlm.nih.gov/pathogens/isolates/#(taxgroup_name:%22Salmonella%20enterica%22)%20AND%20computed_types:(%22serotype=I%204,%5B5%5D,12:i:-%22)

Genetic characteristics: Serovar I 4,[5],12:i:- has been found to be polyphyletic with four lineages identified and one stand-alone singleton that does not cluster with any other Salmonella I 4,[5],12:i:- isolates. S. Typhimurium, with RR3 inserted into the hin-iroB site, serves as a key intermediate. Through IS26/IS1R-mediated transposition of RR3-S. Typhimurium, the monophasic variant Salmonella 4,[5],12:i:- was emerged. Through analyzing a total of 13,612 serovar I 4,[5],12:i:- genomes available in the NCBI PD database, Trachsel et al. found that genomes of Salmonella serovar I 4,[5],12:i:- strains were distributed across 30 countries across five continents (North America, Europe, Asia, Oceania, and South America), with the majority originating from the United States (59%) and the United Kingdom (28%). The metal tolerance island SGI-4 was identified in 71% of these sequences, while the R-type ASSuT was found in 55%. Notably, 65% of the sequences were multidrug-resistant (MDR), aligning with the fact that serovar I 4,[5],12:i:- is the most common MDR serovar. Swine-associated strain sequences (the most prevalent among food-animal sources) were also significantly more likely to carry SGI-4 and MDR genes compared to sequences from other animal-associated isolates. A Chinese study revealed that all 45 S. 4,[5],12:i:- strains analyzed belonged to sequence type ST34, which was further categorized into two distinct ribosomal STs and nine core-genome STs. In one strain, the colistin resistance gene mcr-1 and the extended-spectrum beta-lactamase (ESBL) gene blaCTX-M-14 were found to be co-located on the chromosome. The study highlighted that dynamic changes in antimicrobial resistance regions, the transferability of IncHI2 plasmids, and the chromosomal integration of resistance genes contributed to the diversity of antimicrobial resistance profiles observed in S. 4,[5],12:i:-. Another Chinese research found that MDR I 4,[5],12:i:- isolates showed a high rate of carrying virulence genes including invA, sseL, mgtC, siiE, sopB, gipA, gtgB, sspH1, and sspH2 (72.4%~98.9%). By screening 108 S. 4,5,12:i:- isolates from various sources in Thailand and four international S. 4,5,12:i:- isolates, Win et al. found a total of 21 phenotypic AMR patterns with the predominant AmpST resistant phenotype [i.e., 84% (or 94 of 112) tested positive for resistance to ampicillin, streptomycin, and tetracycline], and 89% (or 100 of 112) were identified to be MDR. Two clones with different gene deletions were identified, one in the US and one in Europe.   

Animal reservoir: Chicken and swine are the major animal reservoirs of this serovar. It has also been found in other animals such as cattle, and dogs.

Geographical distribution: Global distribution, this serovar have been reported among the most common serovars in US, and EU.

Human outbreaks: Multiple outbreaks have been associated with serovar I 4,[5],12:i:-. Here are some examples. 

Year

Location

Associated source

Number of cases

2023Canada: multistateRaw pet food, cattle exposure44
2022Europe: multi-countryChocolate324
2018US-multistateKosher Chicken Products25

2010

US-multistate

Alfalfa Sprouts

140

2011-2012

US: multistate

Probably live-animal markets

>14

2010

US: multistate

Frozen rodents

34

2010

France

Dried pork sausage

69

2007

US: multistate

Pot pie

401

Border rejections: Multiple border rejections associated with serovar I 4,[5],12:i:- have been reported. Here are some examples.

Year

Exporting country

Importing country

Associated source

Product category

2025LithuaniaLatviaPork meat preparation1Meat and meat products (other than poultry)
2024PolandCzech RepublicMinced mixed meat (pork and beef)Meat and meat products (other than poultry)
2021SpainItalyLive mussels (Mytilus galloprovincialis)Bivalve molluscs and products thereof

Monophasic Salmonella Typhimurium was detected in 1 out of 5 units. The product was presumably no longer on the market.

Recalls: Multiple recalls associated with serovar I 4,[5],12:i:- have been reported. Here are some examples.

YearLocationRecalled foodType
2023DenmarkPork minced meat1Meat and meat products (other than poultry)
2022Europe: multi-countryChocolate2Confectionery
2021FranceTurkey meat and offalsPoultry meat and poultry meat products
2021FranceChicken meat Poultry meat and poultry meat products

1 Recalled product name: Magre 80/20 de cerdo cong

2 This recall was caused by monophasic Salmonella Typhimurium outbreak linked to chocolate products (Kinder branded chocolate produced by Ferrero). Several countries including Belgium, France, Germany, Ireland, Luxembourg, Netherlands, Norway, and the UK launched the recall. 

Relevant links:

  1. https://pubmed.ncbi.nlm.nih.gov/19292687/
  2. https://scholar.google.com/scholar_lookup?title=Salmonella+surveillance%3A+annual+summary%2C+2006.&publication_year=2008
  3. https://pubmed.ncbi.nlm.nih.gov/18483484/
  4. https://www.sciencedirect.com/science/article/pii/S2211124723012391#bib3
  5. https://pmc.ncbi.nlm.nih.gov/articles/PMC8985322/#:~:text=For%20isolate%20sequences%20associated%20with,individual%20clades%20illustrated%20in%20Fig.
  6. https://www.frontiersin.org/journals/microbiology/articles/10.3389/fmicb.2025.1547190/full
  7. https://www.frontiersin.org/journals/microbiology/articles/10.3389/fmicb.2023.1200088/full
  8. https://pmc.ncbi.nlm.nih.gov/articles/PMC9119451/
  9. https://www.frontiersin.org/journals/microbiology/articles/10.3389/fmicb.2021.720604/full
  10. https://pmc.ncbi.nlm.nih.gov/articles/PMC2772592/
  11. https://wwwnc.cdc.gov/eid/article/25/7/pdfs/18-1453-combined.pdf
  12. https://onlinelibrary.wiley.com/doi/10.1111/zph.13174
  13. https://www.canada.ca/en/public-health/services/public-health-notices/2023/outbreak-salmonella-infections-under-investigation.html
  14. https://www.ecdc.europa.eu/en/publications-data/rapid-outbreak-assessment-multi-country-salmonella-outbreak-first-update
  15. https://archive.cdc.gov/#/details?url=https://www.cdc.gov/salmonella/chicken-08-18/index.html
  16. https://archive.cdc.gov/www_cdc_gov/salmonella/2010/alfalfa-sprouts-2-10-11.html
  17. https://wwwnc.cdc.gov/eid/article/20/1/13-1179_article
  18. https://web.archive.org/web/20120510125323/http://www.cdc.gov/salmonella/frozenrodents/index.html
  19. https://www.santepubliquefrance.fr/content/download/611270/4222485?version=1
  20. https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5747a3.htm
  21. https://webgate.ec.europa.eu/rasff-window/screen/notification/748380
  22. https://webgate.ec.europa.eu/rasff-window/screen/notification/704846
  23. https://webgate.ec.europa.eu/rasff-window/screen/notification/507503
  24. https://webgate.ec.europa.eu/rasff-window/screen/notification/638539
  25. https://www.ecdc.europa.eu/en/news-events/epidemiological-update-monophasic-salmonella-typhimurium-outbreak
  26. https://webgate.ec.europa.eu/rasff-window/screen/notification/459559
  27. https://webgate.ec.europa.eu/rasff-window/screen/notification/505184