Infection and Drug Resistance (Nov 2022)

Epidemiological Characteristics and Clinical Manifestations of Brucellosis and Q Fever Among Humans from Northeastern Inner Mongolia

  • Ta N,
  • Mi J,
  • Li X,
  • Guo W,
  • Yu G,
  • Li G,
  • Pang S,
  • Bai W,
  • Liu Q,
  • Zhao H,
  • Wei G,
  • Fan M,
  • Wen Y

Journal volume & issue
Vol. Volume 15
pp. 6501 – 6513

Abstract

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Na Ta,1,2 Jingchuan Mi,2 Xiaoyan Li,2 Wei Guo,2 Gaowa Yu,3 Guojun Li,4 Shuchun Pang,5 Wuyun Bai,6 Qingjie Liu,7 Haijun Zhao,8 Guangjun Wei,9 Mengguang Fan,2 Yongjun Wen1 1School of Veterinary Medicine, Inner Mongolia Agricultural University, Hohhot, People’s Republic of China; 2Inner Mongolia Center for Disease Control and Research, Hohhot, People’s Republic of China; 3Tong Liao Center for Endemic Disease Control and Research, Tong Liao, People’s Republic of China; 4Chi Feng Center for Disease Control and Research, Chi Feng, People’s Republic of China; 5Xingan Meng Center for Disease Control and Research, Xingan Meng, People’s Republic of China; 6Keyouqian QI Center for Disease Control and Research, Xingan Meng, People’s Republic of China; 7Zhalute Qi Center for Disease Control and Research, Chi Feng, People’s Republic of China; 8Alukerqin Qi Center for Disease Control and Research, Chifeng, People’s Republic of China; 9Balinzuo Qi Center for Disease Control and Research, Chi Feng, People’s Republic of ChinaCorrespondence: Yongjun Wen, School of Veterinary Medicine, Inner Mongolia Agricultural University, No. 306, Zhaowuda Road, Saihan District, Hohhot, 010018, Inner Mongolia, People’s Republic of China, Email [email protected]: To investigate the distribution, epidemiology, and clinical symptoms of brucellosis and Q fever in northeastern Inner Mongolia.Methods: In this study, 64 townships of Bairin left flag and Alukerqin flag, Jarud flag and Horqin right front flag in four counties with frequent brucellosis and Q fever were selected. Epidemiological characteristics, clinical features, and exposure to risk factors were identified and descriptively analyzed in patients from these areas.Results: There were 367 brucellosis cases in the four regions and 78 positive cases of Q-fever infection. In addition, 24 cases of brucellosis and Q-fever co-infection were identified, with a co-infection rate of 1.13%. Brucellosis and Q fever were mainly concentrated in the 30– 65 and 40– 55 age groups. For brucellosis, the difference between age groups was statistically significant (χ2 = 29.121, P < 0.05). The sex distribution for brucellosis was 225 men (61.31%) and 142 women (38.69%), and 45 men (57.69%) and 33 women (42.31%) had Q fever. Those with brucellosis and Q fever were mainly farmers, accounting for 79.19% and 78.38% of the total number, respectively. Of the 367 cases of brucellosis infection, the main symptoms were joint pain (52.59%), fatigue (47.14%), lower back pain (38.96%), fever (33.24%), hyperhidrosis (28.88%), and muscle pain (20.44%). Of the 78 cases of Q-fever infection, the main symptoms were joint pain (35.90%), fatigue (30.77%), lower back pain (26.92%), fever (21.79%), and hyperhidrosis (17.95%). Muscle pain also accounted for 12.82%.Conclusion: Occupational distribution suggests that we should strengthen the protection measures against diseases infected through animal husbandry. Among the clinical symptoms, fever, hyperhidrosis and fatigue were associated with brucellosis, while fever, headache, and fatigue were significantly associated with Q fever.Keywords: distribution, clinical characteristics, brucellosis, Q fever, northeastern Inner Mongolia

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