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Volume 7, Number 7—June 2001

Research

Waterborne Outbreak of Tularemia Associated with Crayfish Fishing

Pedro Anda*Comments to Author , Javier Segura del Pozo*†, José María Díaz García‡, Raquel Escudero*, F. Javier García Peña§, M. Carmen López Velasco‡, Ricela E. Sellek*, M. Rosario Jiménez Chillarón‡, Luisa P. Sánchez Serrano*, and J. Fernando Martínez Navarro*
Author affiliations: *Instituto de Salud Carlos III, Majadahonda, Madrid, Spain; †Public Health Department, Alcalá de Henares, Madrid, Spain; ‡Cuenca Public Health Department, Cuenca, Spain; §Ministry of Agriculture and Fisheries, Algete, Madrid, Spain

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Table 2

Serologic results and date of onset of tularemia, 19 patients

Patient no. Days since onset MA titer Sex Age (years) Exposure date/
onset date Hospitalization/
other laboratory tests
1 40
69 4,096
4,096 F 71 7-14/7-16 15 d
2 38
69 2,048
2,048 F 63 7-13/7-18 11 d
3 52
69 256
1,024 M 72 7-15/7-17 NO
(+) PCR
4 44
66 2,048
2,048 F 71 7-16/7-18 15 d
5 38
58 512
512 F 62 7-14/7-18 14 d
6 385
482 256
256
256 F 53 7-14/7-18 NO
7 36
53 512
512 M 39 7-17/7-20 NO
8 224
264 16
256
256 M 54 7-19/7-21 7 d
9 17
94 2,048 M 38 7-15,22/7-24 NO
10 74
95 512
512 F 60 7-20/7-23 NO
11 47
52 512
2,048 M 51 7-22/7-24 5 d
12 47
61 2,048
2,048 M Unknown 7-22/7-25 9 d
13 30
50 1,024
1,024 M 48 7-19/7-26 7 d
14 Unknown 256 F 65 7-15/Unknown NO
15 165
273 16
256
256 M 75 7-25/7-27 9 d
16 425
570 256
256
256 F 60 7-27/7-30 NO
17 18
38 2,048
2,048 M 49 7-30/8-2 6 d
18 22
53 512
512 M 67 7-30/8-3 6 d
19 103
178 8,192
2,048 M 65 7-26/8-5 NO

MA = microagglutination; d = day; PCR = polymerase chain reaction; NO = no hospitalization required.

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