title: Foodborne outbreak of human brucellosis caused by ingested raw materials of fetal calf on Jeju Island.
abstract: Since the first reported case of human brucellosis in 2002 in South Korea, its incidence has been increasing nationally. However, bovine brucellosis has not been present from 2005 to date on Jeju Island. Despite Jeju Island being considered a clean area for bovine brucellosis, we experienced an outbreak of human brucellosis between 2012 and 2013. Herein, we report cases with human brucellosis after ingestion of raw materials of fetal calf at a restaurant. Patients were identified by isolation of the Brucella abortus in their blood and joint tissue. Because all patients developed zoonosis by a faulty folk remedy, we emphasize the importance of educational programs to increase the awareness of zoonosis, and the need for active surveillance and detection of illegal distribution channels of the infected animal. After the outbreak, we took control of the involved restaurant and its illegal distribution channel, and there have been no further outbreaks.
authors.affiliation: Division of Infectious Disease, Jeju National University School of Medicine, Jeju, South Korea; Department of Microbiology and Immunology, Jeju National University School of Medicine, Jeju, South Korea; Department of Laboratory Medicine, Jeju National University School of Medicine, Jeju, South Korea; Jeju National University School of Medicine, Jeju, South Korea.
authors.forename: Jeong Rae
authors.initials: JR
authors.lastname: Yoo
authors.affiliation: Division of Infectious Disease, Jeju National University School of Medicine, Jeju, South Korea; Department of Microbiology and Immunology, Jeju National University School of Medicine, Jeju, South Korea; Department of Laboratory Medicine, Jeju National University School of Medicine, Jeju, South Korea; Jeju National University School of Medicine, Jeju, South Korea neosangtaek@naver.com.
authors.forename: Sang Taek
authors.initials: ST
authors.lastname: Heo
authors.affiliation: Division of Infectious Disease, Jeju National University School of Medicine, Jeju, South Korea; Department of Microbiology and Immunology, Jeju National University School of Medicine, Jeju, South Korea; Department of Laboratory Medicine, Jeju National University School of Medicine, Jeju, South Korea; Jeju National University School of Medicine, Jeju, South Korea.
authors.forename: Keun Hwa
authors.initials: KH
authors.lastname: Lee
authors.affiliation: Division of Infectious Disease, Jeju National University School of Medicine, Jeju, South Korea; Department of Microbiology and Immunology, Jeju National University School of Medicine, Jeju, South Korea; Department of Laboratory Medicine, Jeju National University School of Medicine, Jeju, South Korea; Jeju National University School of Medicine, Jeju, South Korea.
authors.forename: Young Ree
authors.initials: YR
authors.lastname: Kim
authors.affiliation: Division of Infectious Disease, Jeju National University School of Medicine, Jeju, South Korea; Department of Microbiology and Immunology, Jeju National University School of Medicine, Jeju, South Korea; Department of Laboratory Medicine, Jeju National University School of Medicine, Jeju, South Korea; Jeju National University School of Medicine, Jeju, South Korea.
authors.forename: Seung Jin
authors.initials: SJ
authors.lastname: Yoo
mesh_terms: D000368:Aged; D000818:Animals; D002003:Brucella abortus / Q000302:isolation & purification; D002006:Brucellosis / Q000453:epidemiology / Q000209:etiology*; D002007:Brucellosis, Bovine / Q000453:epidemiology; D002417:Cattle / Q000382:microbiology; D004196:Disease Outbreaks; D005333:Fetus / Q000382:microbiology; D005517:Foodborne Diseases / Q000453:epidemiology / Q000209:etiology*; D006801:Humans; D008297:Male; D008460:Meat / Q000382:microbiology / Q000506:poisoning*; D008519:Medicine, Traditional / Q000009:adverse effects; D008875:Middle Aged; D056910:Republic of Korea / Q000453:epidemiology; D015047:Zoonoses / Q000453:epidemiology / Q000209:etiology