Brucellosis: zoonotic disease
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Caused by a variety of species of the genus Brucella, Brucellosis continues to be extremely under-diagnosed and consequently under handled in India. This phenomenon may be due to either lack of knowledge about the disease among treating physicians or pure ignorance since it is considered an unusual occurrence. Brucellosis is mainly a zoonotic disease that spreads by infected animals, so it is a primary need for veterinary doctors that animal caregivers to be aware of it. The disease has an insidious onset and involves many organ systems, so the patient may have wide-ranging symptoms that make it difficult to reliably diagnose clinically. Chronic back pain, nonspecific lymphadenopathy, or unexplained weight loss are all common signs of brucellosis and should therefore be ignored at one's own danger. Brucellosis is most commonly suspected in patients with long-standing fevers who return to traditional infectious disease panels with negative results. Although the only culture-based pinpoint diagnosis can occur, most clinicians rely on immunological testing. This is because, unless explicitly ordered, after 72 hours, most microbiology labs dispose of adverse blood cultures. Brucella requires at least a week to grow and crop success rates remain poor. Immunological tests are also favored and provide results that help in diagnosis on the same day. Brucellosis is a relatively rare condition and does not draw attention. In the absence of any dedicated initiative to treat the disease, it is the responsibility of the primary care doctor to keep a vigilant eye on the patient's professional history and clinical appearance.
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