The outbreak, linked to Boar’s Head products, has been especially devastating for high-risk groups like pregnant women and older adults.

Ashley Solberg wasn’t worried about the risk to her pregnancy when she bought Boar’s Head sliced ham from a Florida supermarket in May. Her doctor had told her the risk was negligible, Ms. Solberg said, and she’d eaten deli meat without any issues in her last pregnancy. So she used it to make a poolside lunch for her parents and toddler.

It was only when she returned home to Coon Rapids, Minn., that she started to feel ill. When her fever persisted for a third day, she went to a hospital, where a blood test revealed she had been infected with the bacteria Listeria monocytogenes. A doctor told Ms. Solberg, who was 36 weeks pregnant, that she might need an emergency C-section, or worse.

“The doctor came in and said there’s a possibility that your baby won’t make it, and said over and over how serious a listeria infection is,” she said. “I was terrified.”

Ms. Solberg, 33, is one of 57 people across 18 states who have been hospitalized in an ongoing listeria outbreak tied to Boar’s Head deli meats. The bacteria thrive in cold temperatures, which is why listeria is more commonly found in processed meats, fruit and dairy products. Contaminated food can also deposit the bacteria on counters, deli-meat slicers and other places where food is processed.

Most people don’t get very sick from listeria. But for older adults, immunocompromised people and pregnant women, an infection can cause serious health issues or even death. All nine deaths linked to the outbreak have been of people older than 70, according to the Centers for Disease Control and Prevention.

Ms. Solberg and others sickened in the outbreak described their shock at falling seriously ill after eating cold cuts or liverwurst they had enjoyed without issues for years. One patient had to pause her chemotherapy treatments for leukemia to battle the infection. Some became so ill they had to spend weeks receiving IV antibiotics, and are still trying to regain their strength.

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