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Bacteria can thrive where no one wants them, survive on surfaces that people swear they’ve cleaned, and adapt to drugs that once seemed to be the definitive solution. Scientists aren’t easily intimidated, but certain bacteria have earned a special kind of respect—the kind that changes how laboratories are built, how hospitals operate, and how public health agencies communicate with the public. Some of these microbes have become infamous as a result of historic pandemics; others have taken over modern hospital wards, hiding in plain sight among ventilators and IVs. Here are twenty bacterial heavyweights that have caught the attention of researchers, clinicians, and epidemiologists in the most unsettling way possible.

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