Background: Salmonella enterica subsp. enterica serovar Napoli (antigenic formula 1,9,12:l,z13:e,n,x) is a serovar of the O:9 (D1) serogroup.

This is a rare serovar, in the US only 19 cases were reported from 1999-2009. In other regions of the world S. Napoli is also rare, except for France, Italy, and Switzerland were it appears to have increased considerably. It was isolated from rucola and wild bird samples collected in Italy between 2004 and 2014 (Fisher et al., 2009; Mancini et al., 2014; Gori et al., 2018).  Although it is a nontyphodial Salmonella strain some if its symptoms, including a prolonged incubation period (7–14 days), high fever, bacteremia, and elevated rates of hospitalizations, are similar to those caused by typhoidal Salmonella

NCBI PD link for serovar Napoli: https://www.ncbi.nlm.nih.gov/pathogens/isolates/#(taxgroup_name:%22Salmonella%20enterica%22)%20AND%20computed_types:(%22serotype=Napoli%22)

Genetic characteristics: Serovar Napoli has the typhoid-associated genes hlyE and taiA (SPI-18), cdtB, pltA, and pltB (CdtB-Islet), as well as the GICT18/1 islet.

Animal reservoir: Unknown, poultry and wild boars may be potential reservoirs for serovar Napoli. 

Geographical distribution: Serovar Napoli has been reported in US, Canada, Australia, and Europe, mainly in UK and Italy. 

Human outbreaks:

Year

Location

Associated source

Number of cases

2023NorwayNot identified7
2014ItalyHam47 
2011ItalyWater10

1982

England and Wales

Chocolate bars

245

Animal outbreaks:

Year

Location

Breed

Number of cases

2022-2023ItalyHolstein Friesian41

1 The herd consisted of 310 cows. There were four animals infected: two calves and two milking cows.

Border rejections: There have been no recent border rejections linked to this serovar. 

Recalls: There have been no recent recalls linked to this serovar. 

Relevant links:

  1. https://www.foodsafetynews.com/2023/12/salmonella-outbreak-over-in-norway-but-source-not-found/
  2. https://www.liebertpub.com/doi/full/10.1089/fpd.2015.2091
  3. https://www.escaide.eu/sites/default/files/documents/ESCAIDE-2012-abstract-book.pdf
  4. https://pubmed.ncbi.nlm.nih.gov/6131266/
  5. https://pmc.ncbi.nlm.nih.gov/articles/PMC11718894/
  6. http://www.ncbi.nlm.nih.gov/pubmed/19534593
  7. http://www.ncbi.nlm.nih.gov/pubmed/6131266
  8. http://www.iss.it/binary/publ/cont/ANN_14_01_14.pdf
  9. http://www.eurosurveillance.org/ViewArticle.aspx?ArticleId=20519
  10. http://online.liebertpub.com/doi/full/10.1089/fpd.2015.2091
  11. http://online.liebertpub.com/doi/full/10.1089/fpd.2016.2206
  12. https://webgate.ec.europa.eu/rasff-window/screen/notification/556383
  13. Fisher I, Jourdan-da S, Nathalie H, Herbert W, François-Xavier SH, Danan C, Kérouanton A, Lane C, Dionisi AM, Luzzi I. 2009. Human Infections Due to Salmonella Napoli: A Multicountry, Emerging Enigma Recognized by the Enter-net International Surveillance Network. Foodborne pathogens and disease. 6. 613-9. 10.1089/fpd.2008.0206. 
  14. Mancini L, Marcheggiani S, D'Angelo A, Puccinelli, Camilla C, Filippo R, Flavia D, Elisabetta DM, Dario D, Anna M, Owczarek S, Luzzi Ida. 2014. First isolation of Salmonella enterica serovar Napoli from wild birds in Italy. Annali dell'Istituto superiore di sanità. 50. 96-8. 10.4415/ANN_14_01_14. 
  15. Gori M, Ebranati E, Scaltriti E, Huedo P, Ciceri G, Elisabetta T, Mirella P, Gianguglielmo Z, Stefano P, Luca B. 2018. High-resolution diffusion pattern of human infections by Salmonella enterica serovar Napoli in Northern Italy explained through phylogeography. PLOS ONE 13(8): e0202573. https://doi.org/10.1371/journal.pone.0202573