Volume 7, Number 7—June 2001
Research
Waterborne Outbreak of Tularemia Associated with Crayfish Fishing
Pedro Anda*
, 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*
, 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*
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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