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Human Brucella canis Infection and Subsequent Laboratory Exposures Associated with a Puppy,New York City, 2012
Authors:C M Dentinger  K Jacob  L V Lee  H A Mendez  K Chotikanatis  P L McDonough  D M Chico  B K De  R V Tiller  R M Traxler  E R Campagnolo  D Schmitt  M A Guerra  S A Slavinski
Affiliation:1. New York City Department of Health and Mental Hygiene, New York City, NY, USA;2. Centers for Disease Control and Prevention, Office of Public Health Preparedness and Response, Office of Science and Public Health Practice, Atlanta, GA, USA;3. Downstate Medical Center, State University of New York, Brooklyn, NY, USA;4. Cornell University, New York State College of Veterinary Medicine, Ithaca, NY, USA;5. New York State Department of Agriculture and Markets, Albany, NY, USA;6. Centers for Disease Control and Prevention, National Center for Emerging and Zoonotic Disease, Atlanta, GA, USA;7. Pennsylvania Department of Health, Bureau of Epidemiology, Harrisburg, PA, USA;8. Iowa Department of Agriculture and Land Stewardship, Des Moines, IA, USA
Abstract:Human Brucella canis infection incidence is unknown. Most identified cases are associated with pet dogs. Laboratory‐acquired infections can occur following contact with Brucella spp. We identified a paediatric B. canis case, the source and other exposed persons. A 3‐year‐old New York City child with fever and dyspnoea was hospitalized for 48 h for bronchiolitis. After her admission, blood culture grew B. canis, she was prescribed anti‐microbials and recovered. Bcanis was also isolated from blood of the child's pet dog; these isolates were genetically similar. The dog originated from an Iowa breeding facility which was quarantined after identification of the dog's infection. Additionally, 31 laboratory workers were exposed and subsequently monitored for symptoms; 15 completed post‐exposure prophylaxis. To our knowledge, this is the first report strongly suggesting B. canis zoonotic transmission to a child in the United States, and highlights the need for coordinated control policies to minimize human illness.
Keywords:   Brucella canis     pet dogs  zoonosis  Brucella infection  brucellosis  canine brucellosis  laboratory exposure  pet breeders  personal protection  veterinary treatment
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