An updated soft cheese recall has prompted warnings in six states about possible contamination with the dangerous bacteria Listeria monocytogenes.

Packaged “Autumn Turkey Sandwich” products sold under the brand names “CIBUS Fresh,” “Jack & Olive” and “Sprig and Sprout” were recalled this week due to the addition of Glenview Farms Spreadable Brie, according to a recall notice on Dat reports’ website the U.S. Food and Drug Administration (FDA) website Friday.

Earlier this week, a spokesperson for Pennsylvania-based Savencia Cheese USA said Newsweek that the company has expanded a recall to include Glenview Farms Spreadable Brie after discovering that the “processing equipment” used to make the cheese “may have been contaminated with Listeria monocytogenes.”

Indiana-based company CIBUS Fresh expanded the recall to include the packaged sandwiches, which were sold in Kentucky, Illinois, Indiana, Missouri, Ohio and Tennessee. Consumers who purchased the sandwiches were urged to “discard the product and do not consume it, or return it to the place of purchase for a full refund.”

The following products are included in the recall:

• CIBUS Fresh Autumn Turkey Sandwich sold in a 9.65 oz package with the item code “79616”, the UPC number “00810028251915” and expiration dates of “11/02/24” to “11/09/24”.
• Jack & Olive Autumn Turkey Sandwich sold in a 9.65 oz package with the item code “79615”, the UPC number “00810028251915” and expiration dates of “11/02/24” to “11/09/24”.
• Twig and Sprout Autumn Turkey Sandwich sold in a 9.65 oz package with the item code “84408”, the UPC number “00810028251915” and expiration dates of “11/03/24” to “11/09/24”.

CIBUS Fresh said no more of its products were affected by the recall, while the company was “working with customers to ensure the affected product is removed from store shelves and no longer distributed.”

Newsweek contacted CIBUS Fresh via email on Friday for comment.

Listeriosis, an infection of Listeria monocytogenes, can cause serious illness, even in otherwise healthy people. According to the U.S. Centers for Disease Control and Prevention (CDC), about 260 of the estimated 1,600 annual cases are fatal.

While many listeriosis infections are limited to the digestive system, with symptoms such as diarrhea and vomiting developing within 24 hours of consuming contaminated food, in some cases a more invasive form of the disease develops within two weeks.

Symptoms of the invasive disease include fever, muscle aches, headache, stiff neck, confusion, loss of balance and seizures. About one in twenty people who contract the invasive form of listeriosis without being pregnant will die from the disease.

For those who are pregnant, symptoms are generally mild or nonexistent, but invasive disease “usually leads to miscarriage, stillbirth, premature birth, or life-threatening infection of the newborn,” according to the CDC.

Although cases of listeriosis are relatively rare, outbreaks of the serious disease occur sporadically and concerns about contamination with the bacteria are a common cause of food product recalls.

Earlier this year, an outbreak linked to recalled Boar’s Head meats had killed 10 people and sickened at least 59 others in late September, although the CDC noted that “the actual number of sick people in this outbreak is likely higher than the reported number.” “

“Some people recover without medical care and are not tested Listeria,” the CDC said on September 25. “Additionally, recent illnesses may not yet be reported, as it usually takes three to four weeks to determine if a sick person is part of an outbreak.”