Brucellosis in low-income and middle-income countries.

Published

Journal Article (Review)

Human brucellosis is a neglected, underrecognized infection of widespread geographic distribution. It causes acute febrile illness and a potentially debilitating chronic infection in humans, and livestock infection has substantial socioeconomic impact. This review describes new information regarding the epidemiology of brucellosis in the developing world and advances in diagnosis and treatment.The highest recorded incidence of human brucellosis occurs in the Middle East and Central Asia. Fever etiology studies demonstrate brucellosis as a cause of undifferentiated febrile illness in the developing world. Brucellosis is a rare cause of fever among returning travelers, but is more common among travelers returning from the Middle East and North Africa. Sensitive and specific rapid diagnostic tests appropriate for resource-limited settings have been validated. Randomized controlled trials demonstrate that optimal treatment for human brucellosis consists of doxycycline and an aminoglycoside. Decreasing the burden of human brucellosis requires control of animal brucellosis, but evidence to inform the design of control programs in the developing world is needed.Brucellosis causes substantial morbidity in human and animal populations. While improvements in diagnostic options for resource-limited settings and stronger evidence for optimal therapy should enhance identification and treatment of human brucellosis, prevention of human disease through control in animals remains paramount.

Full Text

Duke Authors

Cited Authors

  • Rubach, MP; Halliday, JEB; Cleaveland, S; Crump, JA

Published Date

  • October 2013

Published In

Volume / Issue

  • 26 / 5

Start / End Page

  • 404 - 412

PubMed ID

  • 23963260

Pubmed Central ID

  • 23963260

Electronic International Standard Serial Number (EISSN)

  • 1473-6527

International Standard Serial Number (ISSN)

  • 0951-7375

Digital Object Identifier (DOI)

  • 10.1097/QCO.0b013e3283638104

Language

  • eng