Brucellosis among hospitalized febrile patients in northern Tanzania.

dc.contributor.author

Bouley, Andrew J

dc.contributor.author

Biggs, Holly M

dc.contributor.author

Stoddard, Robyn A

dc.contributor.author

Morrissey, Anne B

dc.contributor.author

Bartlett, John A

dc.contributor.author

Afwamba, Isaac A

dc.contributor.author

Maro, Venance P

dc.contributor.author

Kinabo, Grace D

dc.contributor.author

Saganda, Wilbrod

dc.contributor.author

Cleaveland, Sarah

dc.contributor.author

Crump, John A

dc.coverage.spatial

United States

dc.date.accessioned

2017-03-02T19:23:18Z

dc.date.available

2017-03-02T19:23:18Z

dc.date.issued

2012-12

dc.description.abstract

Acute and convalescent serum samples were collected from febrile inpatients identified at two hospitals in Moshi, Tanzania. Confirmed brucellosis was defined as a positive blood culture or a ≥ 4-fold increase in microagglutination test titer, and probable brucellosis was defined as a single reciprocal titer ≥ 160. Among 870 participants enrolled in the study, 455 (52.3%) had paired sera available. Of these, 16 (3.5%) met criteria for confirmed brucellosis. Of 830 participants with ≥ 1 serum sample, 4 (0.5%) met criteria for probable brucellosis. Brucellosis was associated with increased median age (P = 0.024), leukopenia (odds ratio [OR] 7.8, P = 0.005), thrombocytopenia (OR 3.9, P = 0.018), and evidence of other zoonoses (OR 3.2, P = 0.026). Brucellosis was never diagnosed clinically, and although all participants with brucellosis received antibacterials or antimalarials in the hospital, no participant received standard brucellosis treatment. Brucellosis is an underdiagnosed and untreated cause of febrile disease among hospitalized adult and pediatric patients in northern Tanzania.

dc.identifier

https://www.ncbi.nlm.nih.gov/pubmed/23091197

dc.identifier

ajtmh.2012.12-0327

dc.identifier.eissn

1476-1645

dc.identifier.uri

https://hdl.handle.net/10161/13793

dc.language

eng

dc.publisher

American Society of Tropical Medicine and Hygiene

dc.relation.ispartof

Am J Trop Med Hyg

dc.relation.isversionof

10.4269/ajtmh.2012.12-0327

dc.subject

Adolescent

dc.subject

Adult

dc.subject

Aged

dc.subject

Animals

dc.subject

Brucellosis

dc.subject

Child

dc.subject

Child, Preschool

dc.subject

Female

dc.subject

Fever

dc.subject

Humans

dc.subject

Infant

dc.subject

Inpatients

dc.subject

Male

dc.subject

Middle Aged

dc.subject

Odds Ratio

dc.subject

Prevalence

dc.subject

Risk Factors

dc.subject

Tanzania

dc.subject

Young Adult

dc.title

Brucellosis among hospitalized febrile patients in northern Tanzania.

dc.type

Journal article

duke.contributor.orcid

Crump, John A|0000-0002-4529-102X

pubs.author-url

https://www.ncbi.nlm.nih.gov/pubmed/23091197

pubs.begin-page

1105

pubs.end-page

1111

pubs.issue

6

pubs.organisational-group

Clinical Science Departments

pubs.organisational-group

Duke

pubs.organisational-group

Duke Cancer Institute

pubs.organisational-group

Duke Science & Society

pubs.organisational-group

Global Health Institute

pubs.organisational-group

Initiatives

pubs.organisational-group

Institutes and Centers

pubs.organisational-group

Institutes and Provost's Academic Units

pubs.organisational-group

Medicine

pubs.organisational-group

Medicine, Infectious Diseases

pubs.organisational-group

Pathology

pubs.organisational-group

School of Medicine

pubs.organisational-group

School of Nursing

pubs.organisational-group

School of Nursing - Secondary Group

pubs.organisational-group

University Institutes and Centers

pubs.publication-status

Published

pubs.volume

87

Files

Original bundle

Now showing 1 - 1 of 1
Loading...
Thumbnail Image
Name:
AmJTropMedHyg_Brucellosis.pdf
Size:
469.57 KB
Format:
Adobe Portable Document Format