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Related Concept Videos

Toxoplasmosis01:28

Toxoplasmosis

Toxoplasmosis, a zoonotic disease caused by the protozoan Toxoplasma gondii, poses significant public health challenges globally due to its high seroprevalence and varied clinical manifestations. As an obligate intracellular parasite, T. gondii can infect all warm-blooded vertebrates, but felids are its only definitive hosts, shedding unsporulated oocysts into the environment. Humans typically acquire the infection through ingestion of tissue cysts in undercooked meat or oocysts from...

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Brucellosis - laboratory workers' nightmare come true: A case study.

Lebogang Skosana1, Farzana Ismail2, Nontombi Mbelle1

  • 1Department of Medical Microbiology, Tshwane Academic Division, National Health Laboratory Services, Pretoria, South Africa.

African Journal of Laboratory Medicine
|October 26, 2020
PubMed
Summary

Brucella melitensis, a dangerous pathogen, can cause serious illness in laboratory workers and patients. This case highlights challenges in recognizing Brucella, managing infected patients, and preventing laboratory exposure through proper protocols and prophylaxis.

Keywords:
brucellosislaboratory exposuremicrobiologyprophylaxispublic health

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Area of Science:

  • Medical Microbiology
  • Infectious Diseases
  • Public Health

Background:

  • Brucella species are uncommon in clinical laboratories but pose significant risks to laboratory personnel.
  • Delayed recognition of atypical Brucella presentations can lead to delayed diagnosis and treatment.
  • Brucellosis outbreaks can occur due to consumption of unpasteurised dairy products.

Observation:

  • An 8-year-old boy from South Africa presented with a bladder mass and enuresis.
  • Brucella melitensis was isolated from his blood culture, leading to a diagnosis of brucellosis.
  • The infection was traced to the consumption of unpasteurised milk.

Findings:

  • The patient received a 6-week course of doxycycline and rifampicin for brucellosis.
  • Laboratory personnel handling the specimen were given prophylaxis due to potential exposure.
  • The case underscores the need for heightened awareness and preparedness for Brucella in laboratory settings.

Implications:

  • Improved diagnostic strategies are needed for atypical Brucella presentations.
  • Strict adherence to biosafety protocols is crucial when handling potentially infectious agents.
  • Public health interventions are essential for controlling Brucella transmission, particularly from animal sources.