There is now evidence that some strains of Aeromonas species are enter
opathogens. Such strains possess virulence properties, such as the abi
lity to produce enterotoxins, cytotoxins, haemolysins and/or the abili
ty to invade epithelial cells. Strains with these properties are commo
n contaminants of drinking water and a wide range of foods. Contact or
consumption of contaminated water, especially in summer, is a major r
isk factor in Aeromonas-associated gastroenteritis. Aeromonas-contamin
ated foods may also be vehicles of infection. Given the properties of
strains that have been described in foods it has been suggested that f
ood-borne illness could result not only from colonization and in vivo
expression of virulence factors, but possibly also by intoxication fol
lowing ingestion of foods that have been stored for a period of time,
even under refrigeration. This paper reviews what is known about Aerom
onas spp. in foods, their expression of virulence determinants, partic
ularly at refrigeration temperatures, and the questions remaining to b
e answered to evaluate the risk they pose, so that an appropriate publ
ic health response can be determined.