Abstract
A woman in France was diagnosed with pulmonary tuberculosis caused by Mycobacterium bovis after a ritual sheep sacrifice in her home country of Tunisia. This investigation sheds light on ritual sacrifice of sheep as a circumstance in which religious tradition and practices can expose millions of Muslims worldwide to this disease.
Highlights
Her husband slaughtered a veterinary-uncontrolled sheep outside the house by cutting through its neck in an open place and insufflating air beneath the skin of the dead animal using bellows before butchering the viscera, including lungs, heart, liver, and kidneys, which were put into a container while the digestive tract was put separately into another container. His wife washed the lungs and the other viscera for ≈2 hours in a confined kitchen, cooked them, and consumed them with her family; she did not experience any injury while butchering the animal. After her return to France, the patient was apyretic with productive cough, fatigue, and anorexia, which started exactly 22 days after the Aid-el-Kebir festivities ended
The patient reported fever, cough, expectoration, and anorexia, and lost 5 kg within 1 month; we found crackles in both the left inferior and right superior lobes
The patient had visited her home country, Tunisia, where she participated in the ritual slaughter of a sheep
Summary
Her husband slaughtered a veterinary-uncontrolled sheep outside the house by cutting through its neck in an open place and insufflating air beneath the skin of the dead animal using bellows before butchering the viscera, including lungs, heart, liver, and kidneys, which were put into a container while the digestive tract was put separately into another container. After her return to France, the patient was apyretic with productive cough, fatigue, and anorexia, which started exactly 22 days after the Aid-el-Kebir festivities ended. The patient reported fever, cough, expectoration, and anorexia, and lost 5 kg within 1 month (body mass index 15); we found crackles in both the left inferior and right superior lobes.
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