On June 27, 2025 the Lexington-Fayette County Health Department (LFCHD) was made aware of an outbreak of Salmonella infection. To date, ten (10) confirmed cases of Salmonella infection have been reported. The cases include four (4) Fayette County residents, two (2) Jessamine County residents, two (2) Mercer County residents, one (1) Fleming County resident, and one (1) out of state resident.

Cases were interviewed to see what food items they consumed prior to their illness. It was discovered that each case had eaten at least one meal at different Ramsey’s Diner locations between June 17-20. While the entrée items differed, each case consumed a custard-based pie topped with meringue or a cheesecake dessert. If you have recently purchased a pie from Missy’s or Ramsey’s and still have leftovers, you are advised to discard the remainder.

The time between exposure to Salmonella and experiencing symptoms can range from 6 hours to 6 days but most commonly occurs in 6-48 hours. Symptoms of Salmonella infection can include diarrhea, fever, abdominal cramps and pain, nausea, vomiting, chills, headache and blood in the stool. Symptoms usually resolve within a few days but could last over a week. If symptoms persist, please seek advice from your healthcare provider. Those who are immunocompromised are at a higher risk for developing more severe illness. If you have experienced these symptoms after consuming food or pies from Ramsey’s Diner or Missy’s Pies since June 15, please complete the following questionnaire to report your symptoms to assist in quantifying the outbreak: https://redcap.link/salmonella_investigation

LFCHD has worked with Ramsey’s and Missy’s Pies to discard any pies that were onsite. Samples of pies and eggs were collected for testing to be completed by the state public health laboratory. Thorough cleaning of the common kitchen where pies were prepared was completed and the establishment was allowed to return to operations to prepare lower risk items such as shelf stable fruit pies and other pies which do not have eggs as ingredients for fillings. At this time, there has been no positive identification of an implicated source for the salmonella exposure; however, eggs are a raw agricultural commodity (RAC) and as such have the potential to be contaminated. Therefore, it is important to observe proper storage, handling, and cooking temperatures. Please visit the following U.S. Food and Drug Administration site
for more information about egg safety: https://tiny.lfchd.org/2p96mv7x