Human infection by Brucella melitensis:: an outbreak attributed to contact with infected goats

Human infection by Brucella melitensis:: an outbreak attributed to contact with infected goats
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DOI:
10.1016/s0928-8244(97)00098-9
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发表时间:
1997-12-01
影响因子:
--
通讯作者:
Baldi, PC
Baldi, PC
中科院分区:
其他
文献类型:
--
作者:
Wallach, JC;Samartino, LE;Baldi, PC

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虽然在实验室工作人员或山羊奶酪消费者中报告了几次猪布鲁氏菌感染暴发,但很少对与农村劳动力有关的暴发进行研究。对阿根廷农场工人中人类布鲁氏菌病的爆发进行了研究,发现与不久之前在同一农场发生的山羊流产流行密切相关。山羊中山羊白僵菌感染率较高。33例被诊断为活动性布鲁氏菌病(14例血培养阳性),其余27例无发病迹象。25例布鲁氏菌病活动性患者为农民工,而健康受试者中仅有5例从事农村劳动。与山羊持续接触的受试者中有91.3%被诊断为活动性布鲁氏菌病,与山羊偶尔接触的受试者中有32%被诊断为活动性布鲁氏菌病。所有60名受试者都否认食用山羊奶酪或牛奶。如图所示,在经常接触受感染的山羊群或山羊粪便的人群中,可能会发生猪耳羊耳杆菌的流行性人类感染。(C) 1998年欧洲微生物学会联合会。Elsevier Science B.V.出版
Although several outbreaks of Bi Brucella melitensis infection have been reported among laboratory workers or goat cheese consumers, outbreaks related to rural labour have been rarely studied. An outbreak of human brucellosis among farm workers of Argentina was studied and revealed a close relationship with an epidemic of caprine abortions which occurred shortly before on the same farm. High rates of B. melitensis infection were found among goats. Active brucellosis was diagnosed in 33 subjects (14 with positive blood culture for B. Melitensis), while other 27 did not show evidence of illness, While 25 of the brucellosis active patients were rural workers, only 5 of the healthy subjects were engaged in rural labour. Active brucellosis was diagnosed in 91.3% of the subjects in continuous contact with goats and in 32% of those having an occasional contact with the animals. All the 60 subjects denied consumption of goat cheese or milk. As shown here, epidemic human infections by B. melitensis may develop among people frequently in contact with infected goat herds or goat manure. (C) 1998 Federation of European Microbiological Societies. Published by Elsevier Science B.V.