UPDATE: Outbreak of E. coli Infections Linked to Twin Sisters Creamery Aged Raw Milk Cheese – 10 Sick

November 13, 2025

One additional Washington resident has been added to this outbreak, bringing the total to 10 cases – 9 Washington residents and 1 Oregon resident. All cases report illness onsets before the cheese was recalled on October 24, 2025. 

November 6, 2025

Samples of Twin Sisters Creamery cheese have tested positive for two different STEC strains associated with human cases: E. coli O103 and E. coli O26. 

Two Washington residents and one Oregon resident have been infected with E. coli O103. Molecular fingerprinting of the E. coli O103 bacteria from the three cases is extremely similar to the E. coli O103 identified in both the Twin Sisters Creamery Farmhouse and Whatcom Blue cheeses. 

Six Washington residents have been infected with E. coli O26. Molecular fingerprinting of the E. coli O26 bacteria from the six cases is extremely similar to the E. coli O26 bacteria identified in the Twin Sister’s Creamery Peppercorn Farmhouse cheese.   

Twin Sisters Creamery brand cheese sampleWhere CollectedWhere TestedShiga
Farmhouse variety (opened)Case’s HomeCommercial LabE. coli O103
Whatcom Blue varietyRetail StoreWashington State Department of AgricultureE. coli O103
Peppercorn Farmhouse variety (unopened)Case’s HomeFood and Drug AdministrationE. coli O26
Farmhouse varietyRetail StoreWashington State Public Health LabE. coli NOS*

*NOS: Not otherwise specified–this strain of Shiga toxin E. coli is not typeable at the Washington State Public Health Lab

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