Bravo Farms Dutch Style Gouda cheese, (Costco item 40654) offered for sale and in cheese sampling events at Costco Wholesale Corporation (Costco) locations is preliminarily linked with an outbreak of E. coli O157:H7 infections.

The U.S. Food and Drug Administration and the Centers for Disease Control and Prevention join Costco Wholesale Corporation (Costco), in warning consumers not to consume Bravo Farms Dutch Style Gouda cheese (Costco item 40654), as this cheese may be associated with an outbreak of E.coli O157:H7 infections. The cheese was available for sale, and free samples were offered for in-store tasting at Costco in Arizona, California, Colorado, New Mexico and Nevada.

Most people infected with E. coli O157:H7 develop diarrhea and abdominal cramps, but some illnesses may last longer and can be more severe. While most people recover within a week, some may develop a severe infection. Rarely, as symptoms of diarrhea improve, a type of kidney failure called hemolytic uremic syndrome (HUS) can occur; this can happen at any age but is most common in children under 5 years old and in older adults. People with HUS should be hospitalized immediately, as their kidneys may stop working and they may be at risk for other serious health problems.

As of Thursday, November 4, 2010, 25 persons infected with the outbreak strain of E. coli O157:H7 have been reported from five states since mid-October. The number of ill persons identified in each state with this strain is as follows: AZ (11), CA (1), CO (8), NM (3) and NV (2). There have been 9 reported hospitalizations, 1 possible case of hemolytic uremic syndrome (HUS), and no deaths.