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Research Article

Epidemiologic Investigation of Immune-Mediated Polyradiculoneuropathy among Abattoir Workers Exposed to Porcine Brain

  • Stacy M. Holzbauer,

    Affiliations: Infectious Disease, Epidemiology, Prevention and Control Division, Minnesota Department of Health, Saint Paul, Minnesota, United States of America, Epidemic Intelligence Service, Office of Workforce and Career Development, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America

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  • Aaron S. DeVries mail,

    Aaron.DeVries@state.mn.us

    Affiliation: Infectious Disease, Epidemiology, Prevention and Control Division, Minnesota Department of Health, Saint Paul, Minnesota, United States of America

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  • James J. Sejvar,

    Affiliation: Division of Viral and Rickettsial Diseases, National Center for Zoonotic, Vector-borne and Enteric Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America

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  • Christine H. Lees,

    Affiliation: Infectious Disease, Epidemiology, Prevention and Control Division, Minnesota Department of Health, Saint Paul, Minnesota, United States of America

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  • Jennifer Adjemian,

    Affiliation: Epidemic Intelligence Service, Office of Workforce and Career Development, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America

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  • Jennifer H. McQuiston,

    Affiliation: Division of Viral and Rickettsial Diseases, National Center for Zoonotic, Vector-borne and Enteric Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America

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  • Carlota Medus,

    Affiliation: Infectious Disease, Epidemiology, Prevention and Control Division, Minnesota Department of Health, Saint Paul, Minnesota, United States of America

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  • Catherine A. Lexau,

    Affiliation: Infectious Disease, Epidemiology, Prevention and Control Division, Minnesota Department of Health, Saint Paul, Minnesota, United States of America

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  • Julie R. Harris,

    Affiliation: Epidemic Intelligence Service, Office of Workforce and Career Development, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America

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  • Sergio E. Recuenco,

    Affiliation: Division of Viral and Rickettsial Diseases, National Center for Zoonotic, Vector-borne and Enteric Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America

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  • Ermias D. Belay,

    Affiliation: Division of Viral and Rickettsial Diseases, National Center for Zoonotic, Vector-borne and Enteric Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America

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  • James F. Howell,

    Affiliation: Public Health Preparedness and Emergency Response, Indiana State Department of Health, Indianapolis, Indiana, United States of America

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  • Bryan F. Buss,

    Affiliations: Epidemic Intelligence Service, Office of Workforce and Career Development, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America, Division of Public Health, Nebraska Department of Health and Human Services, Lincoln, Nebraska, United States of America

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  • Mady Hornig,

    Affiliation: Center for Infection and Immunity, Columbia University, New York, New York, United States of America

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  • John D. Gibbins,

    Affiliations: Epidemic Intelligence Service, Office of Workforce and Career Development, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America, Division of Surveillance, Hazard Evaluations, and Field Studies, National Institute for Occupational Safety and Health, Cincinnati, Ohio, United States of America

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  • Scott E. Brueck,

    Affiliation: Division of Surveillance, Hazard Evaluations, and Field Studies, National Institute for Occupational Safety and Health, Cincinnati, Ohio, United States of America

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  • Kirk E. Smith,

    Affiliation: Infectious Disease, Epidemiology, Prevention and Control Division, Minnesota Department of Health, Saint Paul, Minnesota, United States of America

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  • Richard N. Danila,

    Affiliation: Infectious Disease, Epidemiology, Prevention and Control Division, Minnesota Department of Health, Saint Paul, Minnesota, United States of America

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  • W. Ian Lipkin,

    Affiliation: Center for Infection and Immunity, Columbia University, New York, New York, United States of America

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  • Daniel H. Lachance,

    Affiliation: Department of Neurology, Mayo Clinic, Rochester, Minnesota, United States of America

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  • P. James. B. Dyck,

    Affiliation: Department of Neurology, Mayo Clinic, Rochester, Minnesota, United States of America

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  • Ruth Lynfield

    Affiliation: Infectious Disease, Epidemiology, Prevention and Control Division, Minnesota Department of Health, Saint Paul, Minnesota, United States of America

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  • Published: March 19, 2010
  • DOI: 10.1371/journal.pone.0009782

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