Seroprevalence of Human Brucellosis among Patients admitted with PUO (Pyrexia of Unknown Origin) at a Tertiary Care Hospital in North India

Authors

  • Sahil Langeh Department of Community Medicine, GMC Kathua, Jammu University, Jammu, J&K
  • Lubna Mir Department of Community Medicine, GMC Kathua, Jammu University, Jammu, J&K
  • Dinesh Kumar Department of Community Medicine, All India Insitute of Medical Sciences, Vijaypur, Jammu University, Jammu, J&K
  • Bhavna Sahni Department of Community Medicine ASCOMS, Sidhra, Jammu University, Jammu, J&K
  • Kiran Bala Associate Professor, Postgraduate Department of Community Medicine GMC Jammu University, Jammu, J&K

DOI:

https://doi.org/10.26463/rjns.14_2_8

Keywords:

Human Brucellosis, Seroprevalence, PUO, Raw milk

Abstract

Background: Brucellosis is a disease reported in many parts of the world including India and the disease is also one of the important causes of PUO (Pyrexia of Unknown Origin). The present study was conducted with an aim to determine the seroprevalence of human Brucellosis in patients reporting with PUO.

Method: A cross-sectional hospital-based study was conducted at a tertiary care medical teaching institute in Northern India. A total of 369 serum samples were collected from PUO cases and tested for human Brucellosis by using Rose Bengal Plate Agglutination Test (RBPT), Serum Tube Agglutination Test (STAT), Enzyme linked Immunoassay (ELISA).

Results: Overall seroprevalence in our study was found to be 2.98% (0.5%, 0.8%, and 1.6% by RBPT, STAT and ELISA, respectively).

Conclusion: In spite of the low prevalence of human Brucellosis, clinicians must maintain a high index of suspicion for the possibility of a patient suffering from Brucellosis while encountering a case of PUO and it is advisable to elicit history in terms of certain occupations and risk factors for Brucellosis in patients reporting with PUO.

References

1. Dhand NK, Gumber S, Singh BB, et al. A study on the epidemiology of brucellosis in Punjab (India) using Survey Toolbox. Rev Sci Tech 2005;24(3):879-85.

2. Kollannur JD, Rathore R, Chauhan RS. Epidemiology and economics of brucellosis in animals and its zoonotic significance. XII International Society of Animal Hygiene (ISAH); 2007. p. 466-468.

3. Aulakh HK, Patil PK, Sharma S, et al. A study on the epidemiology of bovine brucellosis in Punjab (India) using milk-ELISA. Acta Veterinaria Brno 2008;77(3):393-9.

4. Panjarathinam R, Jhala CI. Brucellosis in Gujarat State. Indian J Pathol Microbiol 1986;29(1):53-60.

5. Sharma V, Sharma H.K, Ganguly S, et al. Seroprevalence studies of brucellosis among human using different serological tests. Int J Curr Microbiol App Sci 2017;6(5):1793-1800.

6. Appannanavar SB, Sharma K, Verma S, et al. Sero prevalence of Brucellosis: A 10-year experience at a tertiary care center in North India. Indian J Pathol Microbiol 2012;55(2):271.

7. Agasthya AS, Isloor S, Prabhudas K. Brucellosis in high risk group individuals. Indian J Med Microbiol 2007;25(1):28-31.

8. Rashid M, Baru P, Sudhan NA, et al. Seroprevalance of brucellosis in goats and women. J Vet Public Health 2008;6(2):115-116

9. Durack DT, Street AC. Fever of unknown origin— re-examined and redefined. Curr Clin Top Infect Dis 1991;11:35-51.

10. Vassalos CM, Economou V, Vassalou E, et al. Brucellosis in Humans: Why is it elusive? Rev Med Microbiol 2009;20:63-73.

11. Petersdorf RG, Beeson PB. Fever of unexplained origin: report on 100 cases. Medicine 1961;40(1): 1-30.

12. Mantur BG, Amarnath SK. Brucellosis in India a review. J Biosci 2008;33(4):539-547.

13. Smits HL, Kadri SM. Brucellosis in India: a deceptive infectious disease. Indian J Med Res 2005;122(5):375.

14. Handa R, Singh S, Singh N, et al. Brucellosis in north India: results of a prospective study. J Commun Dis 1998;30(2):85.

15. Sen A, Dutta D, Chakraborty U, et al. Brucella sero positivity and genus specific PCR positive rates amongst PUO cases attending OPD of a tertiary care hospital in Bihar, India. European J Biomed Pharm Sci 2017;4(9):440-443.

16. Yohannes M, Gill JP. Seroepidemiological survey of human brucellosis in and around Ludhiana, India. Emerg Health Threats J 2011;4(1):7361.

17. Mohanty TN, Panda SN, Das BR, et al. Sero incidence of brucellosis among dairy farm workers in Orissa. Indian Vet J 2000;77:568-70.

18. Megid J, Antonio Mathias LA, Robles C. Clinical manifestations of brucellosis in domestic animals and humans. Open Vet Sci J 2010;4:1.

19. Kochar DK, Gupta BK, Gupta A, et al. Hospital based case series of 175 cases of serologically confirmed brucellosis in Bikaner. J Assoc Physicians India 2007;55:271-5.

20. Samaha H, Al-Rowaily M, Khoudair RM, et al. Multicenter study of brucellosis in Egypt. Emerg Infect Dis 2008;14(12):1916-8.

21. Mangalgi SS, Sajjan AG, Mohite ST, et al. Serological, clinical, and epidemiological profile of human brucellosis in rural India. Indian J Community Med 2015;40:163-7.

22. Pathak AD, Dubal ZB, Doijad S, et al. Human brucellosis among pyrexia of unknown origin cases and occupationally exposed individuals in Goa Region, India. Emerg Health Threats J 2014;7:23846.

Downloads

Published

2026-01-10

Issue

Section

Original Articles