Godfroid J, Cloeckaert A, Liautard JP, Kohler S, Fretin D, Walravens K, Garin-Bastuji B, Letesson JJ, 2005. From the discovery of the Malta fever's agent to the discovery of a marine mammal reservoir, brucellosis has continuously been a re-emerging zoonosis. Vet Res 36: 313–326.
National Notifiable Diseases Surveillance System, 2007. Notifications of Brucellosis. Available at: http://www9.health.gov.au/cda/source/cda-index.cfm. Accessed May 2, 2009.
Young EJ, 2000. Brucella species. Mandell GL, Douglas RG, Bennett JE, Dolin R, eds. Mandell, Douglas and Bennett's Principles and Practice of Infectious Diseases. Fifth edition. Philadelphia, PA: Churchill Livingstone, 1031–1034.
Pappas G, Akritidis N, Bosilkovski M, Tsianos E, 2005. Brucellosis. N Engl J Med 352: 2325–2336.
Robson J, Harrison M, Wood R, Tilse MH, McKay AB, Brodribb TR, 1993. Brucellosis: re-emergence and changing epidemiology in Queensland. Med J Aust 159: 153–158.
Centers for Disease Controland Prevention, 2009. Brucella suis infection associated with feral swine hunting – three states, 2007–2008. MMWR Morb Mortal Wkly Rep 58: 618–621.
Mantur BG, Biradar M, Bidri RC, Mulimani MS, Veerappa K, Kariholu P, Patil SB, Mangalgi SS, 2006. Protean clinical manifestations and diagnostic challenges of human brucellosis in adults: 16 years' experience in an endemic area. J Med Microbiol 55: 897–903.
Memish Z, Mah M, Al Mahmoud S, Al Shaalan M, Khan MY, 2000. Brucella bacteraemia: clinical and laboratory observations in 160 patients. J Infect 40: 59–63.
Ruiz-Mesa JD, Sanchez-Gonzalex J, Reguera JM, Martin L, Lopez-Palmero S, Colmenero JD, 2005. Rose Bengal test: diagnostic yield and use for the rapid diagnosis of human brucellosis in emergency departments in endemic areas. Clin Microbiol Infect 11: 221–225.
Hasanjani Roushan MR, Mohrez M, Smailnejad Gangi SM, Soleimani Amiri MJ, Hajiahmadi M, 2004. Epidemiological features and clinical manifestations in 469 adult patients with brucellosis in Babol, northern Iran. Epidemiol Infect 132: 1109–1114.
Strategy QFPM. The State of Queensland: Queensland Government Department of Primary Industries, April 2004. Available at: http://www.dpi.qld.gov.au/documents/Biosecurity_EnvironmentalPests/IPA-Feral-Pig-Strategy.pdf. Accessed May 24, 2010.
Robichaud S, Libman M, Behr M, Rubin E, 2004. Prevention of laboratory-acquired brucellosis. Clin Infect Dis 38: e119–e122.
Bouza E, Sanchez-Carrilo C, Hernangómez S, González MJ, 2005. Laboratory-acquired brucellosis: a Spanish national survey. J Hosp Infect 61: 80–83.
Kokoglu OF, Hosoglu S, Geyik MF, Ayaz C, Akalin S, Buyukbese MA, Cetinkaya A, 2006. Clinical and laboratory features of brucellosis in two university hospitals in southeast Turkey. Trop Doct 36: 49–51.
Andriopoulos P, Tsironi M, Deftereos S, Aessopos A, Assimakopoulos G, 2007. Acute brucellosis: presentation, diagnosis, and treatment of 144 cases. Int J Infect Dis 11: 52–57.
Cutler S, Bouzid M, Cutler R, 2007. Q fever. J Infect 54: 313–318.
Franco MP, Mulder M, Gilman RH, Smits HL, 2007. Human brucellosis. Lancet Infect Dis 7: 775–786.
González-Gay MA, Garcia-Porrua C, Ibañez D, García-País MJ, 1999. Osteoarticular complications of brucellosis in an Atlantic area of Spain. J Rheumatol 26: 141–145.
Geyik MF, Gur A, Nas K, Cevik R, Sarac J, Dikici B, Ayaz C, 2002. Musculoskeletal involvement of brucellosis in different age groups: a study of 195 cases. Swiss Med Wkly 132: 98–105.
Spink W, 1964. Host-parasite relationship in human brucellosis with prolonged illness due to suppuration of the liver and spleen. Am J Med Sci 247: 129–136.
Skalsky K, Yahav D, Bishara J, Pitlik S, Leibovici L, Paul M, 2008. Treatment of human brucellosis: systematic review and meta-analysis of randomised control trials. BMJ 336: 701–704.
Spink W, 1960. Current status of therapy of brucellosis in human beings. JAMA 172: 697–698.
Eren S, Bayam G, Ergönül O, Celikbaş A, Pazvantoğlu O, Baykam N, Dokuzoğuz B, Dilbaz N, 2006. Cognitive and emotional changes in neurobrucellosis. J Infect 53: 184–189.
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The aim of this study was to define the clinical presentation of brucellosis in northern Australia and to assess the long-term impact of brucellosis on individual lives. A retrospective review was conducted to assess 32 patients with brucellosis caused by Brucella suis in Townsville, Australia during 1996–2009. All patients were Caucasian males with a mean age of 35 years. The greatest risk factor for brucellosis was feral pig hunting (94%, n = 30). There was one laboratory-acquired case. The most frequent clinical features included fever (94%, n = 30), fatigue (78%, n = 25) and arthralgia (78%, n = 25). The complication rate was 25% (n = 8). A delay in diagnosis of more than 14 days significantly increased the risk of the patient developing complications (95% confidence interval = 3.20–198.96, P = 0.002). The long-term impact of brucellosis was significant; 64% (16) of the patients reporting recurrent symptoms. This study highlights the need for further research on brucellosis caused by B. suis.
Authors' addresses: Katie M. Eales and Natkunam Ketheesan, School of Medicine and Dentistry, James Cook University, Townsville, Queensland, Australia, E-mails: katie_eales@health.qld.gov.au and n.ketheesan@jcu.edu.au. Robert E. Norton, Pathology Queensland, Townsville Hospital, Townsville, Queensland, Australia, E-mail: robert_norton@health.qld.gov.au.
Godfroid J, Cloeckaert A, Liautard JP, Kohler S, Fretin D, Walravens K, Garin-Bastuji B, Letesson JJ, 2005. From the discovery of the Malta fever's agent to the discovery of a marine mammal reservoir, brucellosis has continuously been a re-emerging zoonosis. Vet Res 36: 313–326.
National Notifiable Diseases Surveillance System, 2007. Notifications of Brucellosis. Available at: http://www9.health.gov.au/cda/source/cda-index.cfm. Accessed May 2, 2009.
Young EJ, 2000. Brucella species. Mandell GL, Douglas RG, Bennett JE, Dolin R, eds. Mandell, Douglas and Bennett's Principles and Practice of Infectious Diseases. Fifth edition. Philadelphia, PA: Churchill Livingstone, 1031–1034.
Pappas G, Akritidis N, Bosilkovski M, Tsianos E, 2005. Brucellosis. N Engl J Med 352: 2325–2336.
Robson J, Harrison M, Wood R, Tilse MH, McKay AB, Brodribb TR, 1993. Brucellosis: re-emergence and changing epidemiology in Queensland. Med J Aust 159: 153–158.
Centers for Disease Controland Prevention, 2009. Brucella suis infection associated with feral swine hunting – three states, 2007–2008. MMWR Morb Mortal Wkly Rep 58: 618–621.
Mantur BG, Biradar M, Bidri RC, Mulimani MS, Veerappa K, Kariholu P, Patil SB, Mangalgi SS, 2006. Protean clinical manifestations and diagnostic challenges of human brucellosis in adults: 16 years' experience in an endemic area. J Med Microbiol 55: 897–903.
Memish Z, Mah M, Al Mahmoud S, Al Shaalan M, Khan MY, 2000. Brucella bacteraemia: clinical and laboratory observations in 160 patients. J Infect 40: 59–63.
Ruiz-Mesa JD, Sanchez-Gonzalex J, Reguera JM, Martin L, Lopez-Palmero S, Colmenero JD, 2005. Rose Bengal test: diagnostic yield and use for the rapid diagnosis of human brucellosis in emergency departments in endemic areas. Clin Microbiol Infect 11: 221–225.
Hasanjani Roushan MR, Mohrez M, Smailnejad Gangi SM, Soleimani Amiri MJ, Hajiahmadi M, 2004. Epidemiological features and clinical manifestations in 469 adult patients with brucellosis in Babol, northern Iran. Epidemiol Infect 132: 1109–1114.
Strategy QFPM. The State of Queensland: Queensland Government Department of Primary Industries, April 2004. Available at: http://www.dpi.qld.gov.au/documents/Biosecurity_EnvironmentalPests/IPA-Feral-Pig-Strategy.pdf. Accessed May 24, 2010.
Robichaud S, Libman M, Behr M, Rubin E, 2004. Prevention of laboratory-acquired brucellosis. Clin Infect Dis 38: e119–e122.
Bouza E, Sanchez-Carrilo C, Hernangómez S, González MJ, 2005. Laboratory-acquired brucellosis: a Spanish national survey. J Hosp Infect 61: 80–83.
Kokoglu OF, Hosoglu S, Geyik MF, Ayaz C, Akalin S, Buyukbese MA, Cetinkaya A, 2006. Clinical and laboratory features of brucellosis in two university hospitals in southeast Turkey. Trop Doct 36: 49–51.
Andriopoulos P, Tsironi M, Deftereos S, Aessopos A, Assimakopoulos G, 2007. Acute brucellosis: presentation, diagnosis, and treatment of 144 cases. Int J Infect Dis 11: 52–57.
Cutler S, Bouzid M, Cutler R, 2007. Q fever. J Infect 54: 313–318.
Franco MP, Mulder M, Gilman RH, Smits HL, 2007. Human brucellosis. Lancet Infect Dis 7: 775–786.
González-Gay MA, Garcia-Porrua C, Ibañez D, García-País MJ, 1999. Osteoarticular complications of brucellosis in an Atlantic area of Spain. J Rheumatol 26: 141–145.
Geyik MF, Gur A, Nas K, Cevik R, Sarac J, Dikici B, Ayaz C, 2002. Musculoskeletal involvement of brucellosis in different age groups: a study of 195 cases. Swiss Med Wkly 132: 98–105.
Spink W, 1964. Host-parasite relationship in human brucellosis with prolonged illness due to suppuration of the liver and spleen. Am J Med Sci 247: 129–136.
Skalsky K, Yahav D, Bishara J, Pitlik S, Leibovici L, Paul M, 2008. Treatment of human brucellosis: systematic review and meta-analysis of randomised control trials. BMJ 336: 701–704.
Spink W, 1960. Current status of therapy of brucellosis in human beings. JAMA 172: 697–698.
Eren S, Bayam G, Ergönül O, Celikbaş A, Pazvantoğlu O, Baykam N, Dokuzoğuz B, Dilbaz N, 2006. Cognitive and emotional changes in neurobrucellosis. J Infect 53: 184–189.
Past two years | Past Year | Past 30 Days | |
---|---|---|---|
Abstract Views | 76 | 76 | 13 |
Full Text Views | 485 | 148 | 2 |
PDF Downloads | 233 | 64 | 3 |