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2

A Bestiary of Foodborne Pathogens

The foodborne pathogens that are known to science come in a wide array

of shapes and sizes, and they vary wildly in their behavior and virulence.

The six groups that pose the greatest concern to cooks are listed below

from largest to smallest. Each has different risks, but the means of

addressing the risks vary in each case. Although plasmids—infectious

strands of DNA—can exist within a range of organisms, we discuss them

in the context of their bacterial hosts, in which they play critical roles in

causing disease.

Parasitic worms (see page 120)

Parasitic worms are the largest of the foodborne

pathogens. They can live for decades and grow

to dimensions that are clearly visible to the

naked eye.

Size: they range from microscopic worms a tiny

fraction of a millimeter long to tapeworms that

can reach 9 m / 30 ft in extreme cases

Associated illnesses: trichinellosis, anisakiasis,

ascariasis, fascioliasis, “fish flu,” and taeniasis

Examples: roundworms such as Trichinella

spiralis (above top and bottom), Anisakis simplex,

and Ascaris lumbricoides;

flukes such as Fasciola hepatica and

Nanophyetus salmincola;

tapeworms such as Taenia saginata and

Taenia solium

Protists (see page 126)

This incredibly diverse group of mostly singlecelled

microorganisms includes fungus-like,

plant-like, and animal-like varieties. Most

animal-like protists (or protozoa) are harmless,

but a few parasitic species can be deadly,

including Toxoplasma species.

Size: typically 0.005–3 mm, although brown

algae can range from 0.001 mm to 100 m / 328 ft

Associated illnesses: toxoplasmosis, giardiasis

(“beaver fever”), cyclosporiasis (“traveler’s

diarrhea”), and amebiasis

Examples: Toxoplasma gondii (above top)

Giardia lamblia (above bottom)

Cyclospora cayetanensis

Cryptosporidium parvum

Entamoeba histolytica

Bacteria (see page 130)

Bacteria are perhaps the most famous form of

single-celled life; they are diverse, hardy, and

highly adaptive. Bacteria can cause foodborne

illnesses in more ways than any other pathogen

because they can multiply on food before

consumption.

Size: although the typical range is 0.001–

0.005 mm, these microorganisms have diameters

that run from 200 nanometers (200

billionths of a meter) to 700 microns (700

millionths of a meter, or 0.7 mm)

Associated illnesses: salmonellosis, shigellosis,

listeriosis, and other bacterial infections such as

those caused by Escherichia coli strain O157:H7

and Campylobacter species; also multiple forms

of food poisoning such as botulism

Examples: E. coli (above top)

Campylobacter jejuni

Listeria monocytogenes

Yersinia enterocolitica

multiple Salmonella species

multiple Shigella species

Clostridium perfringens (above bottom)

Staphylococcus aureus

Bacillus cereus

Viruses (see page 152)

Because viruses have genes that are composed

of DNA or RNA, these microorganisms can

evolve like other life forms. Yet most scientists

do not consider them fully alive because they

cannot grow or reproduce beyond the confines

of the cells they infect. A single group, the

noroviruses, causes two-thirds of all known

foodborne illnesses in the United States.

Size: 20–400 nanometers (billionths of a meter)

Associated illnesses: norovirus-, rotavirus-, or

astrovirus-linked gastroenteritis, and foodborne

hepatitis

Examples: norovirus (above top)

rotavirus (above bottom)

hepatitis A virus

astroviruses

Plasmids (see page 133)

Plasmids are naked strands of DNA that supplement

a microbe’s normal set of genes. Multiple

and identical copies of a plasmid can exist

within the same cell, and in bacteria those DNA

strands often move from one cell to another,

sometimes converting the recipient into

a potent killer.

Size: The plasmids that reside in bacteria can

contain from 1,000 to more than 1.6 million base

pairs, or “letters,” of DNA. If a plasmid’s genetic

strand were stretched out from end to end, its

length could exceed that of the host organism.

Plasmid DNA is normally tightly coiled, however,

so that many copies can fit easily inside

a cell.

Associated illnesses: shigellosis, E. coli O157:H7

infection, and many other diseases related to

foodborne bacteria

Examples: the pINV plasmid that is required for

invasive E. coli and Shigella bacterial strains to

function;

the p0157 plasmid within E. coli O157:H7;

the pSS plasmid of Shigella sonnei;

plasmids associated with Yersinia enterocolitica,

Clostridium perfringens, and other diseasecausing

bacteria

Prions (see page 156)

Prions are the simplest pathogens yet discovered;

they are infectious proteins that can

change normal bodily proteins into misshapen

versions that create disease. These “good

proteins gone bad” can cause rare foodborne

illnesses that eventually prove fatal.

Size: Scientists estimate that a human prion is

4–5 nanometers (billionths of a meter) in

diameter

Associated illnesses: kuru (above top) and

variant Creutzfeldt-Jakob disease (above

bottom); researchers have linked kuru to bovine

spongiform encephalopathy (BSE), known

informally as “mad cow disease”

Examples: a prion is often referred to by

biochemists as either a prion protein cellular,

or PrP C , when it is normal, or as a prion protein

scrapie, or PrP Sc , when it is abnormally folded

and therefore capable of causing disease

(scrapie is a disease of sheep that is similar

to BSE)

108 VOLUME 1 · HISTORY AND FUNDAMENTALS

MICROBIOLOGY FOR COOKS 109

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