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J Korean Med Sci.  2005 Dec;20(6):941-946. 10.3346/jkms.2005.20.6.941.

A Sporadic Outbreak of Human Brucellosis in Korea

Affiliations
  • 1Department of Internal Medicine, Chonbuk National University Medical School, Jeonju, Korea. lhbmd@chonbuk.ac.kr
  • 2Division of Zoonoses, Center for Immunology and Pathology, National Institute of Health, Seoul, Korea.

Abstract

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 oneyear 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.

Keyword

Brucellosis; Korea; Disease Outbreaks

MeSH Terms

Adult
Animal Husbandry
Animals
Anti-Bacterial Agents/adverse effects/therapeutic use
Antibodies, Bacterial/blood
Base Sequence
Brucella abortus/genetics/immunology/isolation and purification
Brucellosis/drug therapy/*epidemiology/microbiology/transmission
Brucellosis, Bovine/transmission
Cattle
DNA, Bacterial/genetics
Disease Outbreaks
Doxycycline/adverse effects/therapeutic use
Female
Humans
Korea/epidemiology
Male
Middle Aged
Occupational Diseases/drug therapy/epidemiology/immunology/microbiology
Rifampin/adverse effects/therapeutic use
Veterinarians
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