Cake Mix E. coli Outbreak Sickens 16 in Twelve States; One HUS Case A cake mix E. coli outbreak has been announced by the Centers for Disease Control and Prevention (CDC). Sixteen people in twelve states are sick. Seven people have been hospitalized. The patient case count by state is: Illinois (2), Indiana (1), Iowa (2), Massachusetts (1), Michigan (1), Nebraska (2), Ohio (2), Oregon (1), South Carolina (1), Utah (1), Virginia (1), and Washington (1). The patient age range is from 2 t0 73 years, with a median age of 13. The age range for outbreaks linked to baking ingredients usually skews young; 75% of children in this outbreak are under the age of 18. The hospitalization rate is 44%. That is high for an E. coli outbreak, which is usually around 20%. And one person has developed hemolytic uremic syndrome (HUS), a type of kidney failure. The true number of illnesses in this outbreak is likely much higher than this number, since some people do not seek medical care and are not tested, and because recent illnesses may not have been reported yet.