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The Broad Street pump revisited: dairy farms and an ongoing outbreak of inflammatory bowel disease in Forest, Virginia

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Author(s): Pierce Ellen S | Borowitz Stephen M | Naser Saleh A

Journal: Gut Pathogens
ISSN 1757-4749

Volume: 3;
Issue: 1;
Start page: 20;
Date: 2011;
Original page

Keywords: inflammatory bowel disease | paratuberculosis | cluster | outbreak | aerosolization | fecal-oral waterborne transmission

ABSTRACT
Abstract We report an ongoing outbreak of ulcerative colitis and Crohn's disease in Forest, Virginia involving 15 unrelated children and teenagers who resided in close proximity to dairy farms. Some of our cases demonstrated serologic evidence of Mycobacterium avium subspecies paratuberculosis infection, suggesting its potential role as an etiologic agent.
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