Waterborne outbreak of tularemia associated with crayfish fishing

• Published in: Emerging infectious diseases Vol. 7; no. 3 Suppl; pp. 575 - 582
• Main Authors: Anda, P, Segura del Pozo, J, Díaz García, J M, Escudero, R, García Peña, F J, López Velasco, M C, Sellek, R E, Jiménez Chillarón, M R, Sánchez Serrano, L P, Martínez Navarro, J F
• Format: Journal Article
• Language: English
• Published: United States Centers for Disease Control and Prevention 01-01-2001
• Subjects: Adult; Aged; Animals; Antibodies, Bacterial - blood; Astacoidea - microbiology; Base Sequence; Cambaridae; Case-Control Studies; Disease Outbreaks; DNA, Ribosomal - analysis; DNA, Ribosomal - genetics; Francisella tularensis; Francisella tularensis - classification; Francisella tularensis - isolation & purification; Fresh Water - microbiology; Genes, rRNA; Humans; Middle Aged; Molecular Sequence Data; outbreaks; Polymerase Chain Reaction; Procambarus clarkii; Risk Factors; RNA, Ribosomal, 16S - genetics; Sequence Analysis, DNA; Spain; Sports; tularemia; Tularemia - diagnosis; Tularemia - epidemiology; Tularemia - microbiology; water-borne diseases
• ISSN: 1080-6040; 1080-6059
• DOI: 10.3201/eid0703.010340

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.