Brucellosis Disease

Introduction to Brucellosis

Brucellosis is a zoonotic bacterial infection caused by the Brucella genus. It primarily affects livestock such as cattle, sheep, goats, and pigs but can be transmitted to humans through direct or indirect contact. The disease is also known as Malta fever, Mediterranean fever, or undulant fever due to its characteristic fluctuating fever pattern.

Key Facts

  • Causative Agent: Brucella species (B. abortus, B. melitensis, B. suis, B. canis)

  • Transmission: Ingestion of unpasteurized dairy products, direct animal contact, inhalation of contaminated aerosols

  • Incubation Period: 1-6 weeks

  • Symptoms: Fever, joint pain, fatigue, weight loss, and hepatosplenomegaly

  • Treatment: Long-term antibiotic therapy

Causes and Transmission

Causative Organisms

The disease is caused by Brucella species, which are Gram-negative coccobacilli and facultative intracellular bacteria. The main pathogenic species include:

  • Brucella abortus – Mainly affects cattle

  • Brucella melitensis – Found in goats and sheep, most virulent to humans

  • Brucella suis – Primarily in pigs

  • Brucella canis – Affects dogs but can infect humans

Modes of Transmission

Brucellosis spreads through direct and indirect contact with infected animals or their products:

  • Consumption of contaminated dairy products – Unpasteurized milk, cheese, or raw meat

  • Contact with infected animals – Handling livestock, veterinary procedures

  • Inhalation of aerosols – Exposure in laboratories or slaughterhouses

  • Human-to-human transmission – Rare but can occur through organ transplantation or breastfeeding

Symptoms and Clinical Manifestations

Brucellosis presents with a range of symptoms that can persist for weeks or months.

Acute Symptoms

  • Fever (undulating pattern)

  • Sweating and chills

  • Joint and muscle pain

  • Weakness and fatigue

  • Headache and weight loss

Chronic Symptoms

  • Hepatosplenomegaly – Enlargement of liver and spleen

  • Arthritis – Inflammation of joints

  • Neurological disorders – Depression, mood changes

  • Orchitis and epididymitis – Swelling of testes in males

  • Endocarditis – Infection of heart valves (rare but fatal)

Diagnosis of Brucellosis

Laboratory Tests

  • Blood Culture – Isolation of Brucella bacteria

  • Serological Tests – Detect antibodies (Rose Bengal test, ELISA)

  • Polymerase Chain Reaction (PCR) – Confirms Brucella DNA in blood

  • Bone Marrow Aspiration – Useful in chronic cases

Differential Diagnosis

Brucellosis symptoms resemble:

  • Typhoid fever

  • Tuberculosis

  • Malaria

  • Leptospirosis

Treatment and Management

Antibiotic Therapy

Brucellosis requires prolonged antibiotic treatment to prevent relapses:

  • Doxycycline + Rifampin – First-line therapy (6 weeks)

  • Streptomycin or Gentamicin – Used for severe cases

  • Trimethoprim-sulfamethoxazole (TMP-SMX) – Alternative in children and pregnant women

Supportive Care

  • Pain management with NSAIDs

  • Rest and hydration

  • Surgery in complicated cases (abscesses, endocarditis)

Prevention and Control

Animal Health Measures

  • Vaccination of livestock – RB51 and S19 vaccines for cattle

  • Quarantine of infected animals

  • Pasteurization of dairy products

  • Hygienic slaughtering practices

Human Preventive Measures

  • Avoiding raw dairy consumption

  • Wearing protective gear for veterinarians and slaughterhouse workers

  • Proper cooking of meat

  • Early diagnosis and treatment to prevent complications

Global and Indian Scenario

Worldwide Burden

  • Brucellosis is endemic in the Mediterranean, Middle East, Latin America, and Africa.

  • Approximately 500,000 new cases per year globally.

Brucellosis in India

  • Prevalent in rural and livestock-rearing areas.

  • Common in Uttar Pradesh, Rajasthan, Gujarat, Maharashtra.

  • National Brucellosis Control Program (NBCP) launched for eradication.a

Brucellosis and Its Relevance for UPSC

Prelims Perspective

  • Brucellosis is part of zoonotic diseases covered under General Science.

  • Questions on disease transmission, control programs, and One Health approach.

Mains Perspective (GS Paper 2 & 3)

  • Health & Governance – Role of Government in disease control.

  • Agriculture & Animal Husbandry – Impact of Brucellosis on dairy and meat industries.

  • Biodiversity & Environment – Zoonotic diseases and public health policies.

Essay & Interview

  • “The Role of Zoonotic Diseases in Public Health”.

  • Impact of infectious diseases on economic development.

  • Challenges in controlling animal-borne diseases in India.

Conclusion

Brucellosis is a significant zoonotic disease affecting both humans and animals. It poses economic, public health, and veterinary challenges, requiring multisectoral intervention for effective control. UPSC aspirants must understand its transmission, impact, prevention, and global scenario to tackle related questions in exams effectively.

This guide serves as a comprehensive resource to grasp the disease’s implications in public health, agriculture, and governance.

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