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Brucella suis Infection in Cardiac Implantable Device of Man Exposed to Feral Swine Meat, Florida, USA

Jose A Rodriguez, Candice Joseph, Asmita A Gupte

    Emerging Infectious Diseases
    |March 25, 2025
    PubMed

    Insights

    Brucella suis infection can occur from contact with feral swine. This case highlights a rare cardiac implantable device infection in a man exposed to feral swine meat and blood in Florida.

    Area of Science:

    • Infectious Diseases
    • Microbiology
    • Genomics

    Background:

    • Brucella suis is a zoonotic pathogen primarily associated with feral swine.
    • Exposure routes in the United States often involve direct contact with infected animals or their products.

    Purpose of the Study:

    • To report a unique case of Brucella suis infection involving a cardiac implantable electronic device (CIED).
    • To detail the diagnostic methods used for identifying this rare infection.

    Main Methods:

    • Case report of a patient with suspected Brucella suis infection.
    • Diagnostic techniques included blood and device cultures.
    • Molecular diagnostics and whole-genome sequencing were employed for pathogen identification and characterization.

    Main Results:

    • Brucella suis was successfully cultured from the patient's blood and explanted CIED.
    • Molecular methods confirmed the species, and whole-genome sequencing provided detailed genetic information.
    • The patient had a history of exposure to feral swine meat and blood.

    Conclusions:

    • Brucella suis can cause serious infections, including CIED infections, in individuals with occupational or recreational exposure to feral swine.
    • Integrated diagnostic approaches, including advanced molecular techniques, are crucial for accurate and timely diagnosis of rare Brucella infections.
    Keywords:
    Brucella anthropiBrucella suisFloridaOchrobactrumUnited Statesbacteriabrucellosiscardiac implantable electronic deviceferal swine

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