title: The Broad Street pump revisited: dairy farms and an ongoing outbreak of inflammatory bowel disease in Forest, Virginia.
abstract: We report an ongoing outbreak of ulcerative colitis and Crohn's disease in Forest, Virginia involving 15 unrelated children and teenagers who resided in close proximity to dairy farms. Some of our cases demonstrated serologic evidence of Mycobacterium avium subspecies paratuberculosis infection, suggesting its potential role as an etiologic agent.
authors.affiliation: Division of Pediatric Gastroenterology, Hepatology and Nutrition, University of Virginia Children's Hospital, Box 800386 HSC, Charlottesville, Virginia 22908 USA. Witz@virginia.edu.
authors.forename: Ellen S
authors.initials: ES
authors.lastname: Pierce
authors.forename: Stephen M
authors.initials: SM
authors.lastname: Borowitz
authors.forename: Saleh A
authors.initials: SA
authors.lastname: Naser