Anda, PedroSegura del Pozo, JDíaz García, J MEscudero, RaquelGarcía Peña, F JLópez Velasco, M CSellek Cano, Ricela EsperanzaJiménez Chillarón, M RSanchez-Serrano, Luisa PMartinez-Navarro, Fernando2020-05-052020-05-052001Emerg Infect Dis. 2001;7(3 Suppl):575-82.1080-6040http://hdl.handle.net/20.500.12105/9886In 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.engVoRhttp://creativecommons.org/licenses/by-nc-sa/4.0/AdultAgedAnimalsAntibodies, BacterialAstacoideaBase SequenceCase-Control StudiesDNA, RibosomalFrancisella tularensisFresh WaterGenes, rRNAHumansMiddle AgedMolecular Sequence DataPolymerase Chain ReactionRNA, Ribosomal, 16SRisk FactorsSequence Analysis, DNASportsTularemiaDisease OutbreaksWaterborne outbreak of tularemia associated with crayfish fishingAtribución-NoComercial-CompartirIgual 4.0 Internacional1148567873 Suppl575-8210.3201/eid0707.010740Emerging infectious diseasesopen access