Laboratory-acquired brucellosis: A case report

Dünyada yaygın olarak görülen zoonozlardan biri olan bruselloz ülkemizde halen endemiktir. En sık geçiş enfekte süt ve süt ürünlerinintüketilmesi ile olmaktadır. Farklı olarak laboratuvar çalışanlarında hem direk inhalasyon hemde hasarlı derinin enfekte materyallere temasısonucu bulaş olabilmektedir. Mikrobiyoloji teknisyeni olan 42 yaşındaki erkek olgumuzda, yaklaşık 10 gündür başlayan, özellikle diz ve kalçaekleminde belirgin eklem ağrısı, halsizlik ve gece terlemesi mevcuttu. Pastörize edilmemiş süt ve süt ürünü tüketim öyküsü bulunmayanhastanın sonrasında Brucella spp. üremesi saptanmış bir kültür plağına dokunma ve koklama öyküsü mevcuttu. Hastanın alınan kankültüründe de Brucella m e liten sis üremesi saptandı. Brusellozda yüksek laboratuvar geçiş riskini hatırlatmak amacı ile bu olguyusunmaktayız.

Laboratuvar kaynaklı bruselloz: Bir olgu sunumu

Brucellosis, a common zoonotic disease, is still endemic in Turkey. The most common transmission is through consumption of milk and dairyproducts. Distinctively, in laboratory workers, both direct inhalation and contact with contaminated laboratory material may causeinfections. In this case report, a 42 years male laboratory staff who had fatigue, night sweats, and arthralgia especially at knees and hipjoints for 10 days, was evaluated. He did not have any history of dairy product consumption. But we learnt that he had sniffed a cultureplaque with Brucella spp while working on the sample. We detected Brucella m e liten sis in his blood culture. We present this case to remindreaders of the high transmission risk of brucellosis.

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