Park Mi-Yeoun, Lee Chang-Seop, Choi Young-Sil, Park Seoung-Ju, Lee Joo-Sun, Lee Heung-Bum
Department of Internal Medicine, Chonbuk National University Medical School, Jeonju, Korea.
J Korean Med Sci. 2005 Dec;20(6):941-6. doi: 10.3346/jkms.2005.20.6.941.
Eleven cases of human brucellosis occurred among livestock workers and a veterinarian who lived and worked in a rural area around Jeongeup City, Jeollabuk-Do, Korea from February 2003 to August 2003. Eight of the patients had taken care of Korean native cattle that were infected with bovine brucellosis and had already been slaughtered. Two of the patients had taken care of dairy cattle, and one case was a veterinarian who acquired the disease through an accidental contact with infected cattle while assisting in calf delivery. Eleven cases were identified by serologic work ups and four cases were identified via positive blood cultures. This study shows that the Republic of Korea is no longer free of human brucellosis, Brucella abortus biotype 1. We reviewed the patients' characteristics and serologic data during the one-year follow up period, and we also discuss on the efficacy and side effects of the rifampin and doxycyline regimen used for the treatment of human brucellosis.
2003年2月至2003年8月期间,在韩国全罗北道井邑市周边农村地区生活和工作的家畜饲养工人及一名兽医中发生了11例人类布鲁氏菌病病例。其中8名患者曾照料过感染牛布鲁氏菌病且已被宰杀的韩牛。2名患者曾照料过奶牛,1例是一名兽医,其在协助小牛分娩时因意外接触感染牛而患病。11例病例通过血清学检查确诊,4例通过血培养阳性确诊。本研究表明,韩国不再无布鲁氏菌病1型生物变种引起的人类布鲁氏菌病。我们回顾了患者在一年随访期内的特征和血清学数据,并讨论了用于治疗人类布鲁氏菌病的利福平与强力霉素联合疗法的疗效及副作用。