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Mycobacterium bovis infection in children in the same family: transmission through inhalation
A A Velayati1, P Farnia, M R Boloorsaze
1Dept. of Pediatric, National Research Institute of Tuberculosis and Lung Disease, WHO Collaborating Centre for Tuberculosis & Lung Diseases, Shaheed Beheshti University of Medical Sciences and Health Services, Darabad, Tehran 19556, P.O. 19575/154, Iran.
Abstract:
Two children in the same family were infected with Mycobacterium bovis ("M. bovis"). The molecular typing showed an identical source of infection. Although on school of thought was that the route of transmission was by ingestion of contaminated dairy milk, in other it was thought to be by air-borne transmission. The presentation highlighted the possibility of M. bovis infection in the pediatrics populations through aerosols.
Insights
Mycobacterium bovis (M. bovis) infected two children from the same family. The study suggests airborne transmission, not just contaminated milk, is a possible route for M. bovis infection in children.
Area of Science:
- Pediatric infectious diseases
- Mycobacterial infections
- Public health microbiology
Background:
- Mycobacterium bovis (M. bovis) is a zoonotic pathogen primarily associated with cattle.
- Bovine tuberculosis, caused by M. bovis, can be transmitted to humans through various routes.
- Understanding transmission dynamics is crucial for controlling M. bovis in both animal and human populations.
Observation:
- Two pediatric cases of M. bovis infection within the same family were identified.
- Molecular typing confirmed a single, identical source of infection for both children.
- Clinical presentations and epidemiological data were analyzed to determine the transmission route.
Findings:
- While ingestion of contaminated dairy products is a known transmission route, this case highlights alternative pathways.
- Evidence suggests that airborne transmission of M. bovis is a plausible route, particularly in a household setting.
- The identical source points to a common exposure event for both infected children.
Implications:
- This finding broadens the understanding of M. bovis transmission, emphasizing the role of aerosols.
- It underscores the importance of considering airborne M. bovis transmission in pediatric populations, especially in family clusters.
- Public health strategies for M. bovis control may need to incorporate measures addressing airborne transmission in addition to foodborne routes.
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