Seroprevalence of Brucellosis in Western Rajasthan: A Study from a Tertiary Care Centre

Bansal, Yashik; Aggarwal, Abhinav; Gadepalli, Ravisekhar; Nag, Vijaya Lakshmi

doi:10.4103/ijmm.ijmm_19_358

Cited by 7 publications

(7 citation statements)

References 8 publications

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“…The western part of Rajasthan is a desert area that largely relies on tourism and agricultural and livestock activities for sustaining majority of the households (11). Zoonotic diseases such as brucellosis are prevalent in this area owing to close contact with animals, consumption of unpasteurized or unboiled milk and dairy products (12). Although we could not reliably ascertain the history of close contact in the patient, the acquisition of infection from an infected animal could not be ruled out owing to agricultural background and her eating habits.…”

Section: Discussionmentioning

confidence: 91%

Streptococcus dysgalactiae subspecies dysgalactiae as a cause of urinary tract infection in a diabetic woman: A case report and review of literature

2020

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Group C Streptococci comprises of Streptococcus dysgalatiae that is further divided into two subspecies, namely S. dysgalactiae subspecies equisimilis and S. dysgalactiae subspecies dysgalactiae. S. dysgalactiae subspecies dysgalactiae is mainly an animal pathogen but few cases of human infections have been described in the literature. A 40 year old patient presented to the hospital with complaints of pain in pelvis and suprapubic area. Urine sample of the patient was subjected to microscopy and culture for isolation and identification of the etiological agent. S. dysgalactiae subspecies dysgalactiae was identified from the clinical specimen of the patient by conventional and automated methods. The patient was successfully treated with third generation cephalosporin. With newer or rarely reported pathogens causing human diseases and increase in number of immunocompromised individuals in the population, the pathogenic potential of such isolates should not be undermined and a careful correlation with the clinical profile should help guide a clinician in optimum treatment of the patient.

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Section: Discussionmentioning

confidence: 91%

Streptococcus dysgalactiae subspecies dysgalactiae as a cause of urinary tract infection in a diabetic woman: A case report and review of literature

2020

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“…In India, brucellosis is regarded as a deceiving infectious disease and the incidence of human brucellosis varies in different studies ranging from 0.8 % in Kashmir, 0.9 % in Delhi, 8.5 % in Gujarat, 11.51 % in Andhra Pradesh, 16.7 % in western Rajasthan, 19.83 % in Maharashtra [ 6–10 ]. First case report of neurobrucellosis in western Rajasthan was reported by Kocher DK et al .…”

Section: Case Discussionmentioning

confidence: 99%

Unveiling Neurobrucellosis: A Case Report Emphasizing Early Diagnosis for Better Outcomes

Haripriya,

Malhotra,

Gadepalli

et al. 2024

Access Microbiology

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Introduction. Brucellosis is a pervasive zoonotic disease causing considerable human morbidity worldwide. This report focuses on a case of neurobrucellosis in a rural Indian patient, emphasizing the need for timely microbiological confirmation given its nonspecific clinical presentation. Case Presentation. A 55-year-old rural Indian farmer presented with a 3 week history of insidious, low-grade fever, myalgia, and arthralgia. He developed acute right-sided weakness and neurological symptoms, including disorientation and neck rigidity. Laboratory tests indicated abnormal blood counts, elevated inflammatory markers, and liver dysfunction. Cerebrospinal fluid analysis showed pleocytosis with lymphomononuclear cells and elevated protein levels. Blood cultures eventually grew Gram-negative coccobacilli. Serological tests confirmed neurobrucellosis. Prompt antibiotic therapy led to clinical and laboratory improvement. Conclusion. This case underscores the importance of recognizing neurobrucellosis, particularly in endemic areas, given its nonspecific clinical presentation. Early microbiological diagnosis, supported by positive blood cultures and serological tests, was crucial. The patient’s rapid response to appropriate antibiotics emphasizes the significance of timely recognition and management.

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“…Outside Kurdistan-Iraq, different prevalence of human brucellosis were detected worldwide: Rwanda 6.1% [24], Iran 6.59% [25], Turkey 8.8% [26], Saudi Arabia 12.8% [27], India 16.7% [28], South Sudan 23.3% [29], and in Pakistan 70% [30]. All the previous studies were conducted by using serology tests among nonspecific symptoms patients.…”

Section: Discussionmentioning

confidence: 99%

Epidemiological study of human brucellosis among febrile patients in Erbil-Kurdistan region, Iraq

Almashhadany

Zefenkey

Odhah

2022

J Infect Dev Ctries

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Introduction: Human brucellosis is one of the most common zoonosis infections, with an important impact on the health and economy worldwide. This study aimed to update and provide epidemiological information on this infection and evaluate Rose Bengal Test, which is used as an essential diagnostic test for brucellosis in Erbil. Methodology: A total of 325 participants seeking care and reporting fever at Rizgary Teaching Hospital were enrolled. Blood samples were tested for Brucella spp. antibodies using Rose Bengal Test and blood culture followed by species identification. A questionnaire was administered to detect the risk factors. Results: The prevalence of probable and confirmed brucellosis was 12.3% (95% CI 9.2–16.3) and 9.5% (95% CI 6.8–13.2) respectively. The majority of cases were in the age group of 18-39 years. Brucellosis was significantly associated with raw milk consumption (OR = 10.3 95% CI 5-22.4) and contact with livestock (OR = 11.5 95% CI 5.6-23.9). Brucella melitensis (58.1%) and Brucella abortus (41.9%) are the dominant species in the area. The sensitivity, specificity, positive predictive value, and negative predictive value of the Rose Bengal Test in comparison to the blood culture were 100%, 96.9%, 77.5 %, and 100% respectively. Conclusions: Brucellosis is a significant cause of fever in Erbil and could be diagnosed by the Rose Bengal Test taking into account the compatibility of clinical features with the positive result. The vaccination of livestock and boiling or pasteurization of milk are essential procedures to reduce the frequency of human brucellosis.

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Seroprevalence of Brucellosis in Western Rajasthan: A Study from a Tertiary Care Centre

Cited by 7 publications

References 8 publications

<em>Streptococcus dysgalactiae</em> subspecies <em>dysgalactiae</em> as a cause of urinary tract infection in a diabetic woman: A case report and review of literature

<em>Streptococcus dysgalactiae</em> subspecies <em>dysgalactiae</em> as a cause of urinary tract infection in a diabetic woman: A case report and review of literature

Unveiling Neurobrucellosis: A Case Report Emphasizing Early Diagnosis for Better Outcomes

Epidemiological study of human brucellosis among febrile patients in Erbil-Kurdistan region, Iraq

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