Salmonella infection

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Salmonella infection (salmonellosis) is a common foodborne bacterial illness that affects the intestines. Symptoms usually start 6 hours to 6 days after exposure and commonly include diarrhea, fever, stomach cramps, nausea, and vomiting. Most healthy people recover within a few days to a week, but severe dehydration or bloodstream infection can occur, especially in infants, older adults, pregnant people, and those with weakened immune systems. Prevention focuses on hand-washing, avoiding cross-contamination, cooking foods thoroughly, and avoiding raw eggs and unpasteurized dairy.

Salmonella symptoms

Salmonella infection (salmonellosis) is a common foodborne bacterial illness that primarily affects the intestinal tract. Salmonella bacteria typically live in animal and human intestines and are shed through stool (feces). People most often get infected after consuming contaminated food or water.

Some people with salmonellosis have no symptoms, while others develop diarrhea, fever, and stomach (abdominal) cramps within 8 to 72 hours after exposure. Most healthy people recover in a few days to a week without specific treatment.

In some cases, diarrhea can lead to severe dehydration and requires prompt medical care. Rarely, Salmonella can spread beyond the intestines and cause serious, potentially life-threatening complications. Risk is higher for people who travel to areas with unsafe drinking water or inadequate sewage sanitation.

Symptoms

Salmonella infection is most commonly linked to eating raw or undercooked meat, poultry, or eggs, or drinking unpasteurized milk. The incubation period (time from exposure to symptoms) can range from 6 hours to 6 days.

Many people mistake salmonellosis for a “stomach flu” because the symptoms can be similar.

Common signs and symptoms

  • Diarrhea
  • Stomach (abdominal) cramps
  • Fever
  • Nausea
  • Vomiting
  • Chills
  • Headache
  • Blood in the stool (sometimes)

How long do symptoms last?

Symptoms typically last a few days to a week.
Diarrhea may continue for up to 10 days, and it can take weeks to months for bowel habits to fully return to normal.

Note: Certain types of Salmonella can cause typhoid fever, a different and potentially severe illness more common in regions with limited sanitation.


When to See a Doctor

Most people don’t need medical attention because symptoms often improve on their own. However, you should contact a healthcare provider if the person affected is an infant, young child, older adult, pregnant, or immunocompromised, or if symptoms are severe.

Seek medical care if illness:

  • Lasts more than a few days
  • Includes a high fever
  • Includes bloody stools
  • Suggests dehydration, such as:
    • Urinating less than usual
    • Dark-colored urine
    • Dry mouth and tongue
    • Dizziness or unusual fatigue

Emergency warning signs (seek urgent care): severe weakness, confusion, fainting, inability to keep fluids down, or signs of severe dehydration.

Causes

Salmonella bacteria live in the intestines of people, animals, and birds. Infection happens when Salmonella is swallowed—usually through contaminated food, contaminated water, or contact with contaminated surfaces.

Infected food and water

Common sources include:

  • Raw meat, poultry, and seafood
    Contamination can occur during processing or if seafood comes from contaminated water.
  • Raw or undercooked eggs
    Some infected chickens produce eggs that contain Salmonella before the shell forms.
  • Unpasteurized dairy products (raw milk)
    Pasteurization kills harmful bacteria like Salmonella.
  • Fruits and vegetables
    Produce can be contaminated in the field (irrigation water), during processing, or in the kitchen via cross-contamination.

Improperly handled food

Food can become contaminated when someone prepares it without proper hygiene—especially if they don’t wash hands after using the toilet, changing diapers, or handling raw meat.

Infected surfaces

People can become infected by touching contaminated surfaces (countertops, cutting boards, utensils), then touching their mouth or eating without washing hands.

Infected pets and animals

Some animals—especially birds and reptiles—can carry Salmonella on their skin, feathers, fur, or in feces. Contaminated pet food can also spread Salmonella to pets (and then to people).

Risk Factors

You may be at higher risk of infection (or severe illness) due to increased exposure or reduced ability to fight infection.

Increased exposure

  • International travel, especially to places with poor sanitation
  • Owning or handling animals, particularly reptiles, chicks/ducklings, and birds
  • Contact with animal habitats (tanks, cages, litter boxes, pens)

Stomach or bowel disorders and medications

Your body’s defenses (like stomach acid and healthy gut bacteria) help prevent infection. Some conditions and medications can weaken these defenses:

  • Antacids (lower stomach acidity)
  • Inflammatory bowel disease (IBD)
  • Recent antibiotic use (can disrupt protective gut bacteria)

Immune system problems

Higher risk for more severe disease:

  • HIV/AIDS
  • Sickle cell disease
  • Malaria
  • Medications that suppress immunity (e.g., anti-rejection drugs after transplant, corticosteroids)

Complications

Salmonella infection is usually not life-threatening, but complications can be serious for higher-risk groups.

Dehydration

Diarrhea and vomiting can cause dehydration if fluids aren’t replaced.

Dehydration warning signs:

  • Urinating less than usual or very dark urine
  • Dry mouth/tongue
  • Sunken eyes
  • No tears when crying (in children)
  • Unusual sleepiness, irritability, confusion

Bacteremia (infection in the bloodstream)

If Salmonella enters the bloodstream, it can spread and infect other parts of the body, including:

  • Urinary tract (UTI)
  • Tissues around the brain and spinal cord (meningitis)
  • Heart lining/valves (endocarditis)
  • Bones/bone marrow (osteomyelitis)
  • Blood vessels, especially in people with vascular grafts

Reactive arthritis (Reiter’s syndrome)

After salmonellosis, some people develop reactive arthritis, which may include:

  • Joint pain and swelling
  • Eye irritation
  • Painful urination

Prevention

Preventing salmonella infection mostly comes down to food safety and hand hygiene, especially when caring for infants, older adults, pregnant people, or those with weakened immune systems.

Wash your hands

Wash with soap and water for at least 20 seconds, especially after you:

  • Use the toilet
  • Change a diaper
  • Handle raw meat or poultry
  • Clean up pet feces
  • Touch pets or animal habitats (especially reptiles or birds)

Keep things separate (avoid cross-contamination)

  • Store raw meat, poultry, and seafood separately from ready-to-eat foods.
  • Use separate cutting boards if possible (one for raw meat, one for produce).
  • Never place cooked food on a plate that previously held raw meat.
  • Wash counters, cutting boards, and utensils with soap and hot water after preparing raw foods.

Avoid raw eggs and unpasteurized dairy

Be cautious with foods that may contain raw eggs (homemade cookie dough, mayonnaise, hollandaise, eggnog). If consuming egg-based foods, choose products made with pasteurized eggs. Avoid unpasteurized milk and products made from it.

Cook and store food properly

  • Cook foods thoroughly, especially poultry and eggs.
  • Refrigerate perishable foods promptly.
  • Don’t leave prepared foods at room temperature for extended periods.

Frequently Asked Questions (FAQ)

1) What is the main cause of salmonella infection?

Most cases come from eating contaminated food, especially undercooked poultry, eggs, meat, or unpasteurized dairy, or from contaminated water.

2) How soon do symptoms start after exposure?

Symptoms can begin 6 hours to 6 days after exposure, commonly within 8–72 hours.

3) Is salmonella contagious person-to-person?

It can be, especially if someone doesn’t wash hands well after using the bathroom. Salmonella spreads through the fecal–oral route.

4) How long does salmonella last?

Most people feel better within a few days to a week, but diarrhea can last up to 10 days, and digestion may take longer to fully normalize.

5) What are signs of dehydration from salmonella?

Less urination, dark urine, dry mouth, dizziness, unusual fatigue, confusion, and—in children—no tears when crying.

6) When should I go to urgent care for salmonella?

Seek urgent care for severe dehydration, inability to keep fluids down, fainting, confusion, severe weakness, or worsening symptoms.

7) Do you need antibiotics for salmonella?

Many healthy people don’t. Antibiotics may be used for severe illness or higher-risk patients, this decision should be made by a clinician.

8) Can salmonella cause blood in stool?

Yes. Bloody stools can occur and are a reason to contact a healthcare provider.

9) Can pets spread salmonella?

Yes, especially reptiles, chicks, ducklings, and birds. Wash hands after handling pets or cleaning their habitats.

10) What’s the best way to prevent salmonella?

Hand-washing, avoiding cross-contamination in the kitchen, cooking foods thoroughly, and avoiding raw eggs and unpasteurized dairy.

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