Abstract
BackgroundBrucellosis is a widespread zoonotic infection. This disease is endemic in many parts of Asia, including India. Brucellosis is a major cause of pyrexia of unknown origin (PUO). Persons exposed to infected animals or contaminated animal products are at high risk. Seropositivity among animal handlers, veterinarians and dairy workers has been documented in India. Thus, the present study was aimed to determine prevalence of brucellosis among PUO cases and occupationally exposed individuals.MethodsIn this study, serum samples (n=282) from cases of pyrexia of unknown origin (PUO) (n=243), and occupationally exposed individuals (n=39) were collected and tested for brucellosis by Rose Bengal plate test (RBPT), serum agglutination test (SAT), indirect ELISA, IgG and IgM ELISA. Blood culture for isolation of Brucella was performed for 10 serologically positive patients using BACTEC 9050 automated blood culture system. Biochemical tests and PCR techniques were used for confirmation of the isolates.ResultsOf the samples tested, 4.25%, 3.54%, 6.02% and 4.96% samples were positive by RBPT, SAT, indirect ELISA and IgG ELISA, respectively. None of the sample was positive for IgM ELISA. Of the 10 blood samples cultured bacteriologically, one Brucella isolate was recovered. The isolate was confirmed as Brucella abortus. Amplification of the bcsp31 and IS711 genes was also observed.ConclusionSeropositivity for brucellosis was observed among PUO cases, animal handlers and dairy workers in Goa, India. The serological tests showed variable results. One Brucella isolate was obtained by performing blood culture. Confirmation of the case was done rapidly using molecular tools. General awareness about clinical symptoms should be increased which will improve proper diagnosis within short time frame.
Highlights
Of the 10 blood samples subjected to bacterial culture, one isolate was recovered using BACTEC automated blood culture system
The isolate was identified as Brucella abortus by performing biochemical tests and polymerase chain reaction (PCR)
In the Indian subcontinent, brucellosis is prevalent among all domesticated animals and humans [17]
Summary
This disease is endemic in many parts of Asia, including India. The present study was aimed to determine prevalence of brucellosis among PUO cases and occupationally exposed individuals. Methods: In this study, serum samples (n=282) from cases of pyrexia of unknown origin (PUO) (n=243), and occupationally exposed individuals (n=39) were collected and tested for brucellosis by Rose Bengal plate test (RBPT), serum agglutination test (SAT), indirect ELISA, IgG and IgM ELISA. Blood culture for isolation of Brucella was performed for 10 serologically positive patients using BACTEC 9050 automated blood culture system. Of the 10 blood samples cultured bacteriologically, one Brucella isolate was recovered. Conclusion: Seropositivity for brucellosis was observed among PUO cases, animal handlers and dairy workers in Goa, India. One Brucella isolate was obtained by performing blood culture. General awareness about clinical symptoms should be increased which will improve proper diagnosis within short time frame
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