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#IDFridays Week 30: Brucellosis

This disease has more than six names and comes from animals

Name
Brucellosis, also known as Malta fever, Bang’s disease, Crimean fever, Gibraltar fever, Mediterranean fever, and rock fever

Transmission

  • A bacterial infection that mainly affects sheep, cattle, pigs, goats, and dogs
  • Humans can contract the disease in several ways:
    • Inhaling the airborne bacteria
    • Bacteria entering the body through skin wounds when having direct contact with infected animals (hunters, veterinarians, butchers, and people who work with livestock are especially at risk)
    • Eating or drinking infected meat or animal products such as unpasteurized/raw milk and cheese (this is the main way people become infected)
  • Person-to-person transmission is rare but can occur through sexual transmission and breast feeding

Geography
Worldwide

Incubation Period
2 – 4 weeks after infection

Signs and Symptoms

Initial symptoms include:

  • Headache
  • Fatigue
  • Fever
  • Muscle pain
  • Joint pain
  • Anorexia
  • Sweats

Additional symptoms that can persist or go away and return:

  • Recurrent fevers
  • Depression
  • Arthritis
  • Chronic fatigue
  • Swollen liver or spleen
  • Swollen heart
  • Swollen testicles

Diagnosis
Laboratory testing of blood, bone marrow, or other body fluids to detect bacteria and/or its antibodies

Treatment
Once diagnosed, antibiotics are prescribed for 6 – 8 weeks

Prognosis

  • Recovery may take a few weeks to several months
  • Death is rare, occurring in no more than 2% of all cases

Prevention: What Can You Do?

  • Only drink and eat pasteurized dairy products such as milk and cheese
  • Never eat undercooked meat
  • Animals can be vaccinated against the disease

Brucellosis In the News

Sources:
http://www.cdc.gov/brucellosis/
http://www.who.int/topics/brucellosis/en/

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