[Zoonosis and ocular diseases].
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Several cases of human illness with symptoms suggestive of Aujeszky's Disease (AD) at an outbreak of the disease in cattle and swine were evaluated during this study. Additionally serological studies of people in the group at high risk for illness caused by Aujeszky's Disease Virus (ADV) were carried out. In a herd of 180 bulls sudden clinical disease occurred with symptoms of muscular tremors, salivation, sweating and severe pruritus of the head. The clinical disease lasted two to eight hours and finished in death. In 7 days 10 bulls died and 60 were either killed or culled. A biological test for AD was positive. ADV was identified in the brain of a dead bull. Serological studies for the bulls were negative, however 92.9% on the premises farm were asymptomatically infected. On third to the fifth day of disease in the cattle clinical signs appeared in six of seven workers which had direct contact with diseased cattle. A pruritus of the palms, which spread onto the lower and upper arms, shoulders and back lasted several days.
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Streptococcus suis is primarily pig's pathogen, but can cause disease in a man exposed to contact with pigs (butchers, abatoir workers, farmers). Infection in man is most frequently manifested as purulent meningitis, with deafness and ataxia, but there are rare reports on septic shock with multiple organ failure and death. We report two patients with Streptococcus suis type 1 infection, treated in "Dr Josip Bencević" General Hospital, Slavonski Brod. The first patient suffered a very abrupt and severe illness, with septic shock, multiple organ failure and lethal outcome. The second patient had purulent meningitis with deafness. Both of them had a defect in immunologic function before infection. They were probably infected during manipulation with pork meat at home. Our patients had infection with Streptococcus suis type 1, contrary to reports on prevalent human infection with type 2. It is necessary to make epidemiologic survey on human infection with that pathogen, especially in those professionally exposed to pigs and pork meat.
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BACKGROUND: Brucellosis is a rare infectious disease in Norway. MATERIAL AND METHODS: We present a patient admitted to the department of medicine at Haraldsplass Hospital, Bergen and give a review of the epidemiology, symptoms, diagnosis and treatment of Brucellosis. RESULTS AND INTERPRETATION: The clinical picture of Brucellosis is often non-specific, with swings in fever, general malaise and myalgia. Complications such as osteomyelitis, endocarditis and coagulase-negative staphylococcus (CNS) infection occur in rare cases. The diagnosis is established by detection of Brucella species in blood cultures or tissue aspirate. Brucella is often difficult to isolate, but the available serological tests are highly sensitive and specific. The infection is treated with long-term administration of a combination of two appropriate antibiotic drugs. Surgery may be necessary in case of serious complications. If adequately treated, Brucellosis has a good overall prognosis.