Presentation of brucellosis in an endemic area; west of IRAQ

Haitham Al- Koubaisy,Shehab Lafi

doi:10.21608/eajbsg.2011.16690

Haitham Al- Koubaisy, Shehab Lafi

Open Access

https://doi.org/10.21608/eajbsg.2011.16690

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Abstract

Background: brucellosis in enzootic bacterial infection of animals and human through infected animals milk, urine, vaginal secretions, uterine products & uncooked infected meat. leads to clinical human infection with brucellosis. Objectives: this study was introduced to look for endemicity, presentation& rate of infection of brucellosis in Anbar Governorate West of Iraq. Materials & methods: one hundred four (104) patients had clinical features of brucellosis investigated serologically, blood cultures. received antibrucella of triple antibiotics for minimum 6 weeks followed up regularly till they cured, during the period from 30.12.2009 to 30.12.2010. Results: one hundred four (104) cases were diagnosed, fifty four of them (54) were females and fifty (50) were males all of them were adults .Ninety six (96) cases were presented with subacute brucellosis, three (3) cases with knee joint arthritis, (four) 4 cases with sciatic nerve radiculopathy and one case of neurobrucellosis. Conclusion: the study proved that Anbar Governorate is endemic with brucella infection with mild symptoms in most cases and good response with no relapse rate with triple antibrucella antibiotics.

Highlights

Brucella is Gram negative bacteria it is intracellular bacteria especially in the reticuloendothelial system so it has the ability for chronicity and relapse (1,2,3).it is enzootic, infect animals
It is secreted through the animals milk, uterine secretions, vaginal secretion, urine & faeces other animals can get infection through consumption of these products or infected meat e.g. dogs which will be other source to infect human and increase endemicity of brucellae in the area. human infected by consuming infected unpasteurized milk, cheese,yogurt & butter or consuming uncooked meat. human get infection through wounds or skin abrasions as contaminated e.g. in animal laboring not wearing gloves or carrying infected animal placenta by human hands and the bacteria enter to human through the wounds or abrasions (1,2,3, 4)
The patients whom diagnosed with brucellosis were adults this was ought to the sampling method, we are dealing with adults patients in our private clinic and other sites from where cases were collected

Summary

Introduction

Brucella is Gram negative bacteria (bacilli) it is intracellular bacteria especially in the reticuloendothelial system so it has the ability for chronicity and relapse (1,2,3).it is enzootic, infect animals (cattle, sheep, goats, equines, swine &camels). It is secreted through the animals milk, uterine secretions, vaginal secretion, urine & faeces other animals can get infection through consumption of these products or infected meat e.g. dogs which will be other source to infect human and increase endemicity of brucellae in the area. A serological surveillance was done and revealed the prevalence of the disease in sheep, goats, cattle, buffalo and camels was 6.51 %, 1 %, 1.84 % and o.o2% respectively in IRAQ Except Kurdistan governorate. Br. melitensis (infects sheep, goats & camels), Br. abortus (infects cattle), Br. canis (infects dogs), Br. suis (infects swine) (2)

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