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Listeria bacteria are widely distributed in nature and can be found in water and soil. Infected animals may also serve as sources. Listeria can be spread by several different methods. Ingestion (food-borne transmission) of the organism, such as through unpasteurized milk or contaminated vegetables, is often a source of cases. In newborn infections, the organism may be transmitted from mother to fetus during pregnancy, or directly to the newborn at the time of birth. Direct contact with the organism can cause lesions on the skin.

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