Extensively Drug-Resistant Salmonella Outbreak Linked to Moringa Powder Capsules

Contaminated food

Notice

This outbreak is not related to CDC's other investigation from January of a Salmonella outbreak linked to dietary supplements containing moringa leaf powder.

Rosabella brand moringa powder capsules

White plastic bottle that is labeled with Moringa
This Salmonella outbreak is linked to certain Rosabella brand moringa powder capsules distributed by Ambrosia brands, LLC.

This outbreak is linked to certain lots of Rosabella brand moringa powder capsules distributed by Ambrosia Brands LLC. The firm agreed to recall the following:

  • Sold in white plastic bottles with a green label
  • 52 lot codes and with expiration dates in 2027
    • Lot codes can be found on the bottom of the bottle
  • Available nationwide primarily online on the company's website (tryrosabella.com), Amazon, TikTok Shop, Shein, and eBay

Visit FDA's website for specific lot code details.

What you should do

Actions to take

  • Do not eat the affected capsules
    Do not eat affected Rosabella brand moringa powder capsules.
  • Throw away the capsules
    Throw away the capsules or return them to where you bought them.
  • Wash items and surfaces
    Wash items and surfaces that may have touched the capsules using hot soapy water or a dishwasher.
  • Watch for severe symptoms
    Call your healthcare provider immediately if you have any severe symptoms like high fever, dehydration, bloody diarrhea or diarrhea that won't get better, or vomiting preventing you from keeping liquids down.
  • Tell your provider if you have eaten this product
    Tell your healthcare provider if you have eaten this product so that if you need treatment, they can find guidance below.

What healthcare providers need to know

  • Most people with Salmonella infection recover without antibiotics. If antibiotics are needed, infections with this strain may not be treatable with commonly recommended antibiotics and may require a different antibiotic choice.
    • The Salmonella strain associated with this outbreak is resistant to all first-line and alternative antibiotics commonly recommended for the treatment of Salmonella infections.
    • This strain also might be resistant to multiple β-lactam antibiotics, including meropenem and other carbapenems, because it carries an NDM-1 carbapenemase gene.
  • Tailor antibiotic treatment to antimicrobial susceptibility testing results when possible.
  • Consider consultation with an infectious disease specialist for management of patients with extensively drug-resistant or complicated Salmonella infection.

Resource

Learn more about this strain's resistance and get guidance for diagnosing and treating infections

What businesses should do

  1. Do not sell or serve affected Rosabella brand moringa powder capsules.
  2. Wash and sanitize items and surfaces that may have come in contact with affected capsules.

Symptoms of Salmonella

Most people infected with Salmonella experience diarrhea, fever, and stomach cramps. Symptoms usually start 6 hours to 6 days after swallowing the bacteria. Most people recover without treatment after 4 to 7 days.

Some people—especially children younger than 5, adults 65 and older, and people with weakened immune systems—may experience more severe illnesses that require medical treatment or hospitalization.

Seek care for these symptoms

Call your healthcare provider immediately if you have any of these severe Salmonella symptoms:

  • Diarrhea and a fever higher than 102°F
  • Diarrhea for more than 3 days that is not improving
  • Bloody diarrhea
  • So much vomiting that you cannot keep liquids down
  • Signs of dehydration, such as:
    • Not peeing much
    • Dry mouth and throat
    • Feeling dizzy when standing up

See also