Waterborne Outbreak of Tularemia Associated with Crayfish Fishing
Pedro Anda(Instituto de Salud Carlos III), Javier Segura del Pozo(Instituto de Salud Carlos III), J.M. Díaz García, Raquel Escudero(Instituto de Salud Carlos III), F. J. García Peña(Ministerio de Agricultura, Pesca y Alimentación), M. Carmen López Velasco, Ricela E. Sellek(Instituto de Salud Carlos III), M. Rosario Jiménez Chillarón, Luisa P. Sánchez Serrano(Instituto de Salud Carlos III), Juan Fernando Martínez Navarro(Instituto de Salud Carlos III)
Cited by 108Open Access
Abstract
In 1997, an outbreak of human tularemia associated with hare-hunting in central Spain affected 585 patients. We describe the identification of Francisella tularensis biovar palaearctica in a second outbreak of ulceroglandular tularemia associated with crayfish (Procambarus clarkii) fishing in a contaminated freshwater stream distant from the hare-associated outbreak. The second outbreak occurred 1 year after the first.
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