Alam M, Ahmad F U, Mazid R, Roy S, Al-Maruf A, Rasheduzzaman M, Hoque N, Ahmed S, Nasreen S A, Rahman M S, Paul S K, Kobayashi N
Dr Mahbubul Alam, MD Resident, Department of Microbiology, Mymensingh Medical College (MMC), Mymensingh, Bangladesh; E-mail:
Mymensingh Med J. 2020 Oct;29(4):771-778.
This study describes the molecular detection of human brucellosis among patients with pyrexia of unknown origin. It was a cross-sectional descriptive study and was carried out in the Department of Microbiology, Mymensingh Medical College, Mymensingh, Bangladesh. Non-probability purposive type of sampling technique was used. Blood samples were collected from 400 pyretic patients from September 2018 to August 2019. BCSP31 Brucella genus-specific TaqMan real-time PCR and SYBR Green real-time PCR were undertaken for molecular detection. Out of 400 samples, 22 (5.5%) samples found BCSP31 Brucella genus-specific real-time PCR positive. The study revealed that a considerable number of brucellosis is present in rural areas among risk as well as non-risk group study population having definite male predominancy, most prone to develop among >40-80 years age group. Brucella genus and species-specific real-time PCR might be performed for confirmation and also to avoid unjustified costs, drug toxicity, and un-masking of other potentially dangerous diseases.
本研究描述了不明原因发热患者中人类布鲁氏菌病的分子检测情况。这是一项横断面描述性研究,在孟加拉国迈门辛市迈门辛医学院微生物学系开展。采用了非概率目的抽样技术。于2018年9月至2019年8月从400例发热患者中采集血样。采用BCSP31布鲁氏菌属特异性TaqMan实时荧光定量PCR和SYBR Green实时荧光定量PCR进行分子检测。在400份样本中,22份(5.5%)样本的BCSP31布鲁氏菌属特异性实时荧光定量PCR呈阳性。研究表明,在农村地区,相当数量的布鲁氏菌病存在于有风险及无风险的研究人群中,男性占主导,最易在40至80岁年龄组中发病。可进行布鲁氏菌属和种特异性实时荧光定量PCR以进行确诊,同时避免不合理的费用、药物毒性以及掩盖其他潜在危险疾病。