Brucellosis diagnostic criteria

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Danitza Lukac

Overview

There is no specific criteria for brucellosis, diagnosis is based on

The diagnosis of brucellosis is based on clinical and laboratory criteria.[1]

Diagnostic Criteria

There is no specific diagnostic criteria for Brucellosis, Diagnosis is based on

  • History of potential exposure
  • Presentation consistent with the disease
  • Supporting laboratory findings
Diagnosis of brucellosis
History of potential exposure
  • Living or travelling to Brucellosis endemic countries
  • Consuming unpasteurized dairy products or raw meat products
  • Unsafe hunting practices
  • Occupational risks such as slaughther house workers, meat-packing employees, and veterinarian
presentation consistent with the disease An illness characterized by acute or insidious onset of fever and one or more of the following:
Supporting laboratory findings
  • Definitive:
    • Culture and identification of Brucella spp. from clinical specimens
    • Evidence of a fourfold or greater rise in Brucella antibody titer between acute- and convalescent-phase serum specimens obtained greater than or equal to 2 weeks apart
  • Presumptive:
    • Brucella total antibody titer of greater than or equal to 160 by standard tube agglutination test (SAT) or Brucella microagglutination test (BMAT) in one or more serum specimens obtained after onset of symptoms
    • Detection of Brucella DNA in a clinical specimen by PCR assay

Other non-specific findings may include:

  • Complete blood count: Normal or low with relative lymphocytosis. Low platelets may be reported
  • Hemoglobin: Mild anemia is documented
  • Normal or elevated ESR
  • Normal or elevated C-reactive protein levels
  • Raised fibrinogen degraded products

Reference

  1. Brucellosis 2010 Case Definition. CDC. http://wwwn.cdc.gov/nndss/conditions/brucellosis/case-definition/2010/. Accessed on February 2, 2016