Published in:
Open Access
01-10-2019 | Case Report
A headache with surprising outcome: first case of brucellosis caused by Brucella suis biovar 1 in Germany
Authors:
Sabine Zange, Kim Schneider, Enrico Georgi, Holger C. Scholz, Markus H. Antwerpen, Mathias C. Walter, Lothar Zoeller, Heiner von Buttlar, Johannes P. Borde
Published in:
Infection
|
Issue 5/2019
Login to get access
Abstract
In July 2018, brucellosis was diagnosed in a German patient without a travel history to regions endemic for Brucella. Microbiological analysis, including whole-genome sequencing, revealed Brucella suis biovar 1 as the etiologic agent. Core-genome-based multilocus sequence-typing analysis placed the isolate in close proximity to strains originating from Argentina. Notably, despite a strong IgM response, the patient did not develop Brucella-specific IgG antibodies during infection. Here, we describe the clinical course of infection, the extensive epidemiological investigations, and discuss possible routes of transmission.