Galińska Elżbieta Monika, Zagórski Jerzy
Department of Allergology and Environmental Hazards, Institute of Rural Health, Lublin, Poland.
Ann Agric Environ Med. 2013;20(2):233-8.
Brucellosis in humans is a zoonosis of greatly varied clinical image. It occurs on all inhabited continents. The course of the disease may be acute, sub-acute or chronic. The etiologic factors of brucellosis are small, aerobic Gram-negative rods of the genus Brucella, which currently contains ten species: B. abortus, B. suis, B. ovis, B. melitensis, B. canis, B. neotomae, B. pinnipedialis, B. ceti, B. microti and B. inopinata. In humans, the disease is caused mainly by: B. melitensis as the most pathogenic species, followed by B. suis, whereas B. abortus is considered as the mildest type of brucellosis. The natural reservoir of the germ and the source of infection in humans are infected domestic animals, primarily cattle, sheep, goats, as well as wild animals. Infection in humans occurs by penetration through damaged skin, conjunctiva, and more rarely via the alimentary route by the consumption of infected products. Especially exposed are: veterinarians, veterinary technicians, insemination service employees, zoo technicians, farmers working on multi-herd farms (production cooperatives), e.g. cattlemen, also private farmers, employees of slaughter houses and meat processing enterprises. A basis for diagnosing brucellosis are serologic tests which allow the detection of antibodies occurring in response to infection, performed with the use of the following methods: agglutination test, complement fixation test, Coombs test, 2-mercaptoethanol agglutination test, and Burnet's intradermal allergy test which detects the state of hypersensitivity of the infected organism to Brucella abortus rods.
人类布鲁氏菌病是一种临床症状差异很大的人畜共患病。它在所有有人居住的大陆上都有发生。该病的病程可能是急性、亚急性或慢性的。布鲁氏菌病的病因是布鲁氏菌属的小型需氧革兰氏阴性杆菌,目前该属包含十个种:流产布鲁氏菌、猪布鲁氏菌、绵羊布鲁氏菌、马尔他布鲁氏菌、犬布鲁氏菌、新墨西哥布鲁氏菌、海豹布鲁氏菌、鲸布鲁氏菌、微小布鲁氏菌和意外布鲁氏菌。在人类中,该病主要由以下病菌引起:致病性最强的马尔他布鲁氏菌,其次是猪布鲁氏菌,而流产布鲁氏菌被认为是布鲁氏菌病中最轻微的类型。病菌的自然宿主和人类的感染源是受感染的家畜,主要是牛、羊、山羊,以及野生动物。人类通过破损皮肤、结膜感染,更罕见的是通过食用受感染产品经消化道途径感染。特别容易感染的人群有:兽医、兽医技术人员、授精服务人员、动物园技术人员、在多畜群养殖场(生产合作社)工作的农民,如养牛人,还有个体农民、屠宰场和肉类加工企业的员工。布鲁氏菌病诊断的依据是血清学检测,这些检测可检测出感染后产生的抗体,采用以下方法进行:凝集试验、补体结合试验、库姆斯试验、2-巯基乙醇凝集试验,以及检测受感染机体对流产布鲁氏菌杆菌过敏状态的伯内特皮内过敏试验。