title: Brucellosis in a refugee who migrated from Syria to Germany and lessons learnt, 2016.
abstract: A teenage woman migrating from Syria arrived in May 2015 in Germany. She gave birth to a healthy child in early 2016, but became febrile shortly after delivery. Blood cultures revealed Brucella melitensis. In retrospect, she reported contact with sheep in Syria and recurrent pain in the hip joints over about five months before diagnosis of brucellosis. We discuss consequences for adequate treatment of mother and child as well as for clinical and laboratory management.
authors.affiliation: Robert Koch Institute, Berlin, Germany.
authors.forename: Roland
authors.initials: R
authors.lastname: Grunow
authors.forename: Daniela
authors.initials: D
authors.lastname: Jacob
authors.forename: Silke
authors.initials: S
authors.lastname: Klee
authors.forename: Dietmar
authors.initials: D
authors.lastname: Schlembach
authors.forename: Sabine
authors.initials: S
authors.lastname: Jackowski-Dohrmann
authors.forename: Vera
authors.initials: V
authors.lastname: Loenning-Baucke
authors.forename: Bettina
authors.initials: B
authors.lastname: Eberspächer
authors.forename: Sonja
authors.initials: S
authors.lastname: Swidsinski
mesh_terms: D000284:Administration, Oral; D000293:Adolescent; D000818:Animals; D000900:Anti-Bacterial Agents / Q000008:administration & dosage / Q000627:therapeutic use; D000904:Antibiotics, Antitubercular / Q000008:administration & dosage / Q000627:therapeutic use; D017347:Brucella melitensis / Q000302:isolation & purification*; D002006:Brucellosis / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D004318:Doxycycline / Q000008:administration & dosage / Q000627:therapeutic use; D004338:Drug Combinations; D004641:Emigration and Immigration; D005858:Germany; D006801:Humans; D012036:Refugees; D012293:Rifampin / Q000627:therapeutic use; D012756:Sheep; D012757:Sheep Diseases / Q000382:microbiology*; D013593:Syria; D016896:Treatment Outcome; D015047:Zoonoses
chemical_list: D000900:Anti-Bacterial Agents; D000904:Antibiotics, Antitubercular; D004338:Drug Combinations; D004318:Doxycycline; D012293:Rifampin
keywords: Brucella; biosafety; brucellosis; clinic; emerging or re-emerging diseases; refugee