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Diagnosis and Surgical Treatment of Human Brucellar Spondylodiscitis
Published on: May 23, 2021
Sexually transmitted brucellosis in humans.
Eyal Meltzer1, Yechezkel Sidi, Gill Smolen
1Center for Geographic Medicine and Department of Medicine C, The Chaim Sheba Medical Center, Tel Hashomer, Tel Aviv University, Tel Aviv, Israel.
Summary
Sexual transmission of Brucella (the bacteria causing brucellosis) between humans is rare. This study presents two probable cases of husband-to-wife transmission, one with orchidoepididymitis and another with bacteria detected in semen.
Area of Science:
- Infectious Diseases
- Microbiology
- Sexual Health
Background:
- Brucellosis is a zoonotic disease typically transmitted through contact with infected animals or contaminated animal products.
- Human-to-human transmission of Brucella is exceptionally uncommon, with sexual transmission being particularly rare in documented cases.
Observation:
- This report details two distinct cases suggesting probable sexual transmission of Brucella from infected males to their female partners.
- The first case involved a male partner with orchidoepididymitis, a condition affecting the testes and epididymis.
- The second case identified Brucella in the semen of a male partner without evident genital symptoms, confirmed via polymerase chain reaction (PCR).
Findings:
- The study provides evidence supporting the possibility of sexual transmission of Brucella in humans.
- The presence of Brucella in semen, even without clinical signs in the male, indicates a potential route for transmission.
- Orchidoepididymitis in one partner further supports the link between genital infection and potential sexual transmission.
Implications:
- These findings highlight the need to consider sexual transmission as a potential route for brucellosis, especially in endemic areas or specific clinical contexts.
- Further research is warranted to understand the prevalence and mechanisms of sexual transmission of Brucella.
- Clinicians should be aware of this rare transmission route when evaluating patients with brucellosis or related symptoms.
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