Symptoms of Listeria Infection

What to know

  • Listeria bacteria can cause an infection called listeriosis.
  • Signs and symptoms of listeriosis depend on the person infected, and the body part affected.
  • Listeria are most likely to harm pregnant people, newborns, older adults, and people with weakened immune systems.
  • Other people can be infected with Listeria, but they rarely become seriously ill.
Illustration of Listeria monocytogenes bacteria under a microscope.

Invasive illness

"Invasive" means bacteria have spread beyond the intestines (gut). Invasive listeriosis happens when Listeria spreads beyond the intestines.

Symptoms of invasive illness usually start within 2 weeks after eating food contaminated with Listeria.

Symptoms of invasive illness

People who are pregnant

Symptoms typically include

  • Fever
  • Flu-like symptoms, such as muscle aches and fatigue

People who are not pregnant

Symptoms typically include

  • Fever
  • Flu-like symptoms, such as muscle aches and fatigue
  • Headache
  • Stiff neck
  • Confusion
  • Loss of balance
  • Seizures

Severity of invasive illness

People who are pregnant

  • Symptoms in pregnant people are usually mild. Some pregnant people never have symptoms.
  • However, infection during pregnancy usually leads to
    • miscarriage,
    • stillbirth,
    • premature delivery, or
    • life-threatening infection of the newborn.

People who are not pregnant

  • Symptoms in non-pregnant people can be severe.
  • Almost 1 in 6 non-pregnant people with invasive listeriosis die.

Intestinal illness

Listeria can also cause an intestinal illness. This kind of illness is rarely diagnosed because laboratories do not regularly test patient samples for Listeria.

Symptoms of intestinal illness usually start within 24 hours after eating food contaminated with Listeria and usually last 1–3 days.

Symptoms of intestinal illness

Symptoms typically include:

  • Diarrhea
  • Vomiting

Severity of intestinal illness

  • Symptoms are usually mild.
  • However, some people with intestinal illness develop invasive illness.

When to talk to your doctor

Contact a healthcare provider if both of the following things apply to you:

Let the healthcare provider know if you ate possibly contaminated food. This step is especially important if you are pregnant, are 65 years or older, or have a weakened immune system.

If you ate food possibly contaminated with Listeria and do not feel sick, most experts believe you do not need tests or treatment. Talk with a healthcare provider if you have questions about what to do.