Case Report: Acute Brucellosis Due to Brucella suis in a Brazilian Gold Miner Diagnosed in French Guiana-Reference-Cited by-同舟云学术

Case Report: Acute Brucellosis Due to Brucella suis in a Brazilian Gold Miner Diagnosed in French Guiana

Published:2023-07-05 Issue:1 Volume:109 Page:32-34
ISSN:0002-9637
Container-title:The American Journal of Tropical Medicine and Hygiene
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Author:

Melzani Alessia¹,Boutrou Mathilde¹,Sainte-Rose Vincent²,About Frédégonde¹,Douine Maylis³,Michaud Céline⁴,Nacher Mathieu²,Gaillet Mélanie⁴,Blanchet Denis²,Lavigne Jean Philippe⁵⁶,Demar Magalie²,O’Callaghan David⁵⁶,Djossou Felix¹,Keriel Anne⁵⁶,Epelboin Loïc¹

Affiliation:

1. Unité de Maladies Infectieuses et Tropicales, Centre Hospitalier de Cayenne, Cayenne, French Guiana;

2. Laboratoire Hospitalo-Universitaire de Microbiologie, Centre Hospitalier de Cayenne, Cayenne, French Guiana;

3. Centre d’Investigation Clinique Antilles-Guyane, INSERM CIC 1424, Cayenne, French Guiana;

4. Centres Délocalisés de Prévention et de Soins, Centre Hospitalier de Cayenne, Cayenne, French Guiana;

5. Virulence Bactérienne et Infections Chroniques (VBIC), U1047, INSERM, Université de Montpellier, Nîmes, France;

6. Centre National de Référence des Brucella, Service de Microbiologie, Centre Hospitalier Universitaire de Nîmes, Nîmes, France

Abstract

ABSTRACT. A 29-year-old Brazilian illegal gold miner developed intermittent fever. Blood cultures were positive for Gram-negative coccobacilli and, after an initial misidentification by an automated identification system, the diagnosis of brucellosis caused by Brucella suis was confirmed. We hypothesize an association with domestic or wild swine exposure. The patient responded well to standard antibiotic therapy of brucellosis. We report the first case of human brucellosis on the Guiana Shield. This report underlines the importance of considering brucellosis in the presence of a fever of unknown origin, even in the Amazonian rainforest area, where several zoonotic diseases might be considered in the differential diagnosis of unexplained fever.

Publisher

American Society of Tropical Medicine and Hygiene

Subject

Virology,Infectious Diseases,Parasitology

Reference16 articles.

1. Brucellosis in humans—etiology, diagnostics, clinical forms;Galińska,2013

2. Clinical manifestations of human brucellosis: a systematic review and meta-analysis;Dean,2012

3. Brucella isolated in humans and animals in Latin America from 1968 to 2006;Lucero,2008

4. The new global map of human brucellosis;Pappas,2006

5. Outbreak of human brucellosis in southern Brazil and historical review of data from 2009 to 2018;Lemos,2018