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Waterborne outbreak of tularemia associated with crayfish fishing

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Centers for Disease Control and Prevention (CDC)
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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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Emerg Infect Dis. 2001;7(3 Suppl):575-82.

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