Brucellosis in Children

Wallis, H

doi:10.1136/bmj.1.5019.617

Cited by 35 publications

(7 citation statements)

References 11 publications

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“…All the milk routinely went for pasteurization except one bottle taken home by a man who worked on the farm at week-ends. Wallis (1957Wallis ( , 1959 confirms that childhood cases are very easily missed, and he refers to a great variety of presentations and complications associated with childhood brucellosis.…”

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confidence: 79%

“…Dalrymple-Champneys' series of 150 children (1-94: 1, M. : F.). Spink (1952), in 253 childhood cases, found 168 boys to 85 girls and Wallis (1959) reported the disease in 19 boys and 16 girls.…”

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confidence: 98%

“…The low proportion of childhood cases corresponds to American findings: Spink (1956) reported an incidence of 2 5 % in children. Wallis (1959) estimated the incidence of childhood brucellosis to be 1 % of hospital patients, based on observation of 3,000 paediatric cases seen over five years. His monograph describes in detail the clinical and epidemiological factors in 35 patients considered to have brucellosis and his are the only recent papers on childhood brucellosis in this country.…”

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confidence: 99%

“…Wallis (1957Wallis ( , 1959 In all the British series of childhood cases, infection has mainly been attributed to raw milk, although in the U.S.A. Spink (1956) is inclined to the view that the exploratory habits of children in the country might readily lead them into contact with infected material in the vicinity of farms. Renoux (1953) considers that the resistance shown by children is only apparent and results from the lack of close contact between children and infected animals or to the fact that the young are rarely fed on raw milk; when such conditions have occurred, he has noted that the susceptibilities of children or infants are the same as those of adults.…”

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confidence: 99%

“…Wallis (1957Wallis ( , 1959 has described cases presenting as miliary tuberculosis, spinal radiculitis and tuberculous rheumatism. From the United States, Hagebusch and Frei (1941) presented evidence for transfer of a maternal infection to a child in utero or in the process of delivery; they referred to five women with the disease who presented with sterility as one of their complaints, and to the review by Cozzolino (1915) of 48 cases of brucellosis in which arrested development and some degree of mental deficiency followed the infection in infancy.…”

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confidence: 99%

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Brucellosis in Children

Bothwell¹

1962

Archives of Disease in Childhood

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(1931) described the first case in an infant aged 20 months. Since then only three series of childhood brucellosis have been published, forming part of a series of cases of all ages (Beattie, Smith and Tulloch, 1935; Smith, 1951; Dalrymple-Champneys, 1960). A series of eight mild cases in childhood has been described by Paterson and Hardwick (1938 Dalrymple-Champneys has referred to childhood cases in his various intermediate papers (1950, 1952 When contact cases were excluded, however, the proportion of childhood cases increased, and in 74 proven cases with no animal contact nearly 10% were children under 10 years.Hagebusch and Frei (1941) had previously concluded that the disease was common but self-limited in childhood and that spontaneous recovery masked the real incidence. Of 182 cases of childhood brucelosis diagnosed by them, six were classified as acute and 176 as chronic; 95 % were under 6 years of age and 65% were female, corresponding with their experience of adult cases in St. Louis, where at that time 78 % of over 1,000 cases had been female.

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confidence: 79%

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confidence: 98%

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confidence: 99%

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confidence: 99%

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confidence: 99%

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