Human brucellosis and adverse pregnancy outcomes

Purpose of Review Brucellosis is a neglected, zoonotic disease of nearly worldwide distribution. Despite brucellosis being recognized as a reproductive disease in animals, it has been historically known as a flu-like illness in humans with little or no significant role in maternal or newborn hea...

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Main Authors: Arenas-Gamboa, Angela M., Rossetti, Carlos Alberto, Chaki, Sankar P., Garcia-Gonzalez, Daniel G., Adams, Leslie G., Ficht, Thomas A.
Format: info:ar-repo/semantics/artículo
Language:Inglés
Published: Springer 2019
Subjects:
Online Access:http://hdl.handle.net/20.500.12123/4498
https://link.springer.com/article/10.1007/s40475-016-0092-0#citeas
https://doi.org/10.1007/s40475-016-0092-0
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author Arenas-Gamboa, Angela M.
Rossetti, Carlos Alberto
Chaki, Sankar P.
Garcia-Gonzalez, Daniel G.
Adams, Leslie G.
Ficht, Thomas A.
author_browse Adams, Leslie G.
Arenas-Gamboa, Angela M.
Chaki, Sankar P.
Ficht, Thomas A.
Garcia-Gonzalez, Daniel G.
Rossetti, Carlos Alberto
author_facet Arenas-Gamboa, Angela M.
Rossetti, Carlos Alberto
Chaki, Sankar P.
Garcia-Gonzalez, Daniel G.
Adams, Leslie G.
Ficht, Thomas A.
author_sort Arenas-Gamboa, Angela M.
collection INTA Digital
description Purpose of Review Brucellosis is a neglected, zoonotic disease of nearly worldwide distribution. Despite brucellosis being recognized as a reproductive disease in animals, it has been historically known as a flu-like illness in humans with little or no significant role in maternal or newborn health. This review focuses on what is currently known relative to the epidemiology of brucellosis in human pregnancy as well as new insights of placental immunology. Recent Findings New evidence suggests that maternal infection poses a significant risk factor for adverse pregnancy outcomes including increased risk for miscarriage during the first and second trimester of gestation, preterm delivery, and vertical transmission to the fetus. Adverse pregnancy outcomes were not associated with any specific clinical sign. However, prompt diagnosis and treatment significantly decreased the risk of miscarriage or any other adverse effect. Summary Brucellosis during pregnancy should be considered a significant risk factor for adverse pregnancy outcomes in humans. The identification of the mechanism behind bacterial tropism should prove powerful for the development of new countermeasures to prevent these detrimental effects. Increased awareness concerning brucellosis in pregnant women, its transmission, and prevention measures should be considered as a pressing need.
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institution Instituto Nacional de Tecnología Agropecuaria (INTA -Argentina)
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spelling INTA44982019-02-26T17:17:27Z Human brucellosis and adverse pregnancy outcomes Arenas-Gamboa, Angela M. Rossetti, Carlos Alberto Chaki, Sankar P. Garcia-Gonzalez, Daniel G. Adams, Leslie G. Ficht, Thomas A. Human Diseases Abortion Zoonoses Pregnancy Enfermedades Humanas Brucellosis Aborto Zoonosis Placenta Gestación Purpose of Review Brucellosis is a neglected, zoonotic disease of nearly worldwide distribution. Despite brucellosis being recognized as a reproductive disease in animals, it has been historically known as a flu-like illness in humans with little or no significant role in maternal or newborn health. This review focuses on what is currently known relative to the epidemiology of brucellosis in human pregnancy as well as new insights of placental immunology. Recent Findings New evidence suggests that maternal infection poses a significant risk factor for adverse pregnancy outcomes including increased risk for miscarriage during the first and second trimester of gestation, preterm delivery, and vertical transmission to the fetus. Adverse pregnancy outcomes were not associated with any specific clinical sign. However, prompt diagnosis and treatment significantly decreased the risk of miscarriage or any other adverse effect. Summary Brucellosis during pregnancy should be considered a significant risk factor for adverse pregnancy outcomes in humans. The identification of the mechanism behind bacterial tropism should prove powerful for the development of new countermeasures to prevent these detrimental effects. Increased awareness concerning brucellosis in pregnant women, its transmission, and prevention measures should be considered as a pressing need. Instituto de Patobiología Fil: Arenas-Gamboa, Angela M. Texas A&M University. College of Veterinary Medicine & Biomedical Sciences. Department of Veterinary Pathobiology; Estados Unidos Fil: Rossetti, Carlos Alberto. Instituto Nacional de Tecnología Agropecuaria (INTA). Instituto de Patobiología; Argentina Fil: Chaki, Sankar P. Texas A&M University. College of Veterinary Medicine & Biomedical Sciences. Department of Veterinary Pathobiology; Estados Unidos Fil: Garcia-Gonzalez, Daniel G. Texas A&M University. College of Veterinary Medicine & Biomedical Sciences. Department of Veterinary Pathobiology; Estados Unidos Fil: Adams, Leslie G. Texas A&M University. College of Veterinary Medicine & Biomedical Sciences. Department of Veterinary Pathobiology; Estados Unidos Fil: Ficht, Thomas A. Texas A&M University. College of Veterinary Medicine & Biomedical Sciences. Department of Veterinary Pathobiology; Estados Unidos 2019-02-26T17:08:39Z 2019-02-26T17:08:39Z 2016-12 info:ar-repo/semantics/artículo info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion http://hdl.handle.net/20.500.12123/4498 https://link.springer.com/article/10.1007/s40475-016-0092-0#citeas 2196-3045 (Online) https://doi.org/10.1007/s40475-016-0092-0 eng info:eu-repo/semantics/restrictedAccess application/pdf Springer Current tropical medicine reports 3 (4) : 164–172. (December 2016)
spellingShingle Human Diseases
Abortion
Zoonoses
Pregnancy
Enfermedades Humanas
Brucellosis
Aborto
Zoonosis
Placenta
Gestación
Arenas-Gamboa, Angela M.
Rossetti, Carlos Alberto
Chaki, Sankar P.
Garcia-Gonzalez, Daniel G.
Adams, Leslie G.
Ficht, Thomas A.
Human brucellosis and adverse pregnancy outcomes
title Human brucellosis and adverse pregnancy outcomes
title_full Human brucellosis and adverse pregnancy outcomes
title_fullStr Human brucellosis and adverse pregnancy outcomes
title_full_unstemmed Human brucellosis and adverse pregnancy outcomes
title_short Human brucellosis and adverse pregnancy outcomes
title_sort human brucellosis and adverse pregnancy outcomes
topic Human Diseases
Abortion
Zoonoses
Pregnancy
Enfermedades Humanas
Brucellosis
Aborto
Zoonosis
Placenta
Gestación
url http://hdl.handle.net/20.500.12123/4498
https://link.springer.com/article/10.1007/s40475-016-0092-0#citeas
https://doi.org/10.1007/s40475-016-0092-0
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