title: Waterborne outbreak of tularemia associated with crayfish fishing.
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.
authors.affiliation: Instituto de Salud Carlos III, Majadahonda, Madrid, Spain. panda@isciii.es
authors.forename: P
authors.initials: P
authors.lastname: Anda
authors.forename: J
authors.initials: J
authors.lastname: Segura del Pozo
authors.forename: J M
authors.initials: JM
authors.lastname: Díaz García
authors.forename: R
authors.initials: R
authors.lastname: Escudero
authors.forename: F J
authors.initials: FJ
authors.lastname: García Peña
authors.forename: M C
authors.initials: MC
authors.lastname: López Velasco
authors.forename: R E
authors.initials: RE
authors.lastname: Sellek
authors.forename: M R
authors.initials: MR
authors.lastname: Jiménez Chillarón
authors.forename: L P
authors.initials: LP
authors.lastname: Sánchez Serrano
authors.forename: J F
authors.initials: JF
authors.lastname: Martínez Navarro
mesh_terms: D000328:Adult; D000368:Aged; D000818:Animals; D000907:Antibodies, Bacterial / Q000097:blood; D003400:Astacoidea / Q000382:microbiology*; D001483:Base Sequence; D016022:Case-Control Studies; D004275:DNA, Ribosomal / Q000032:analysis / Q000235:genetics; D004196:Disease Outbreaks; D005604:Francisella tularensis / Q000145:classification / Q000302:isolation & purification*; D005618:Fresh Water / Q000382:microbiology*; D020459:Genes, rRNA; D006801:Humans; D008875:Middle Aged; D008969:Molecular Sequence Data; D016133:Polymerase Chain Reaction; D012336:RNA, Ribosomal, 16S / Q000235:genetics; D012307:Risk Factors; D017422:Sequence Analysis, DNA; D013177:Sports; D014406:Tularemia / Q000175:diagnosis / Q000453:epidemiology* / Q000382:microbiology
chemical_list: D000907:Antibodies, Bacterial; D004275:DNA, Ribosomal; D012336:RNA, Ribosomal, 16S