Brucella suis
Brucella suis is a bacterial species that is one of the causative agents of brucellosis, a zoonotic infection. This bacterium primarily affects pigs (swine), but it can also infect other animals and humans. In swine, the disease is characterized by reproductive failure, including abortion and infertility. In humans, brucellosis can cause a range of symptoms, including fever, sweats, malaise, anorexia, headache, and muscle pain. The transmission of Brucella suis to humans can occur through direct contact with infected animals or their secretions, or by consuming contaminated animal products.
Classification and Description
Brucella suis belongs to the genus Brucella, which comprises several species known to infect various animal hosts. The genus Brucella is classified within the family Brucellaceae. Brucella suis is a Gram-negative, non-motile, non-spore-forming coccobacillus. It is aerobic and requires oxygen to grow. There are several biovars of Brucella suis, with biovar 1 being the most pathogenic to humans.
Pathogenesis and Symptoms
The pathogenesis of Brucella suis involves the bacterium entering the host through mucosal surfaces, breaks in the skin, or inhalation. Once inside the host, the bacteria can evade the immune system and replicate within cells. This intracellular lifestyle is key to the persistence of the bacteria in the host and complicates treatment.
In swine, infection with Brucella suis can lead to abortion, stillbirths, and infertility, affecting the reproductive success of the herd. In humans, the disease can range from mild to severe, and if left untreated, can become chronic, leading to complications in various organs.
Diagnosis and Treatment
Diagnosis of Brucella suis infection is typically based on clinical symptoms, history of exposure, and laboratory tests, including blood cultures and serological tests. Due to its intracellular nature, treatment of brucellosis requires antibiotics that can penetrate cells. A combination of antibiotics, usually doxycycline and rifampin, is recommended for several weeks to ensure the eradication of the bacteria.
Prevention
Prevention of Brucella suis infection in humans involves controlling the disease in animal populations, wearing protective clothing when handling animals or animal products, and avoiding the consumption of unpasteurized dairy products. In some regions, vaccination of swine herds is practiced to reduce the incidence of the disease.
Economic and Public Health Impact
The presence of Brucella suis in swine populations can have significant economic impacts due to reproductive losses. Moreover, the risk of transmission to humans poses a public health concern, particularly for people working in close contact with swine, such as farmers, veterinarians, and slaughterhouse workers. The disease is considered an occupational hazard in these professions.
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Contributors: Prab R. Tumpati, MD