Epidemiology of Mycobacterium bovis Disease in Humans, the Netherlands, 1993–2007

In the Netherlands, 1.4% of tuberculosis (TB) cases are caused by Mycobacterium bovis. After we admitted 3 patients with M. bovis infections to our reference hospital, we conducted a retrospective analysis of all M. bovis disease in the Netherlands during 1993–2007. We analyzed data from 231 patient...

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Main Authors: Christof J. Majoor, Cecile Magis-Escurra, Jakko van Ingen, Martin J. Boeree, Dick van Soolingen
Format: Article
Language:English
Published: Centers for Disease Control and Prevention 2011-03-01
Series:Emerging Infectious Diseases
Subjects:
Online Access:https://wwwnc.cdc.gov/eid/article/17/3/10-1111_article
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author Christof J. Majoor
Cecile Magis-Escurra
Jakko van Ingen
Martin J. Boeree
Dick van Soolingen
author_facet Christof J. Majoor
Cecile Magis-Escurra
Jakko van Ingen
Martin J. Boeree
Dick van Soolingen
author_sort Christof J. Majoor
collection DOAJ
description In the Netherlands, 1.4% of tuberculosis (TB) cases are caused by Mycobacterium bovis. After we admitted 3 patients with M. bovis infections to our reference hospital, we conducted a retrospective analysis of all M. bovis disease in the Netherlands during 1993–2007. We analyzed data from 231 patients for clinical, demographic, treatment, and outcome characteristics and for risk factors. Most patients were native Dutch (n = 138; 59.7%) or Moroccan (n = 54; 23.4%). Disease was mainly extrapulmonary (n = 136; 58.9%). Although 95 patients had pulmonary disease, person-to-person transmission did not occur, as shown by structural DNA fingerprinting analysis. Lymph node TB was more likely to develop in women (p<0.0001), whereas pulmonary M. bovis disease developed more frequently in men (p<0.0001). Diagnosis was accurate but delayed and led to inadequate treatment in 26% of the cases. Proportion of deaths from M. bovis disease was higher than that for M. tuberculosis disease.
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spelling doaj.art-03e62faa7db041c0a82a355e4f37944c2022-12-21T17:50:22ZengCenters for Disease Control and PreventionEmerging Infectious Diseases1080-60401080-60592011-03-0117345746310.3201/eid1703.101111Epidemiology of Mycobacterium bovis Disease in Humans, the Netherlands, 1993–2007Christof J. MajoorCecile Magis-EscurraJakko van IngenMartin J. BoereeDick van SoolingenIn the Netherlands, 1.4% of tuberculosis (TB) cases are caused by Mycobacterium bovis. After we admitted 3 patients with M. bovis infections to our reference hospital, we conducted a retrospective analysis of all M. bovis disease in the Netherlands during 1993–2007. We analyzed data from 231 patients for clinical, demographic, treatment, and outcome characteristics and for risk factors. Most patients were native Dutch (n = 138; 59.7%) or Moroccan (n = 54; 23.4%). Disease was mainly extrapulmonary (n = 136; 58.9%). Although 95 patients had pulmonary disease, person-to-person transmission did not occur, as shown by structural DNA fingerprinting analysis. Lymph node TB was more likely to develop in women (p<0.0001), whereas pulmonary M. bovis disease developed more frequently in men (p<0.0001). Diagnosis was accurate but delayed and led to inadequate treatment in 26% of the cases. Proportion of deaths from M. bovis disease was higher than that for M. tuberculosis disease.https://wwwnc.cdc.gov/eid/article/17/3/10-1111_articleMycobacterium bovisM. tuberculosis diseasetuberculosis and other mycobacteriaepidemiologyM. bovisanti-TNF-α
spellingShingle Christof J. Majoor
Cecile Magis-Escurra
Jakko van Ingen
Martin J. Boeree
Dick van Soolingen
Epidemiology of Mycobacterium bovis Disease in Humans, the Netherlands, 1993–2007
Emerging Infectious Diseases
Mycobacterium bovis
M. tuberculosis disease
tuberculosis and other mycobacteria
epidemiology
M. bovis
anti-TNF-α
title Epidemiology of Mycobacterium bovis Disease in Humans, the Netherlands, 1993–2007
title_full Epidemiology of Mycobacterium bovis Disease in Humans, the Netherlands, 1993–2007
title_fullStr Epidemiology of Mycobacterium bovis Disease in Humans, the Netherlands, 1993–2007
title_full_unstemmed Epidemiology of Mycobacterium bovis Disease in Humans, the Netherlands, 1993–2007
title_short Epidemiology of Mycobacterium bovis Disease in Humans, the Netherlands, 1993–2007
title_sort epidemiology of mycobacterium bovis disease in humans the netherlands 1993 2007
topic Mycobacterium bovis
M. tuberculosis disease
tuberculosis and other mycobacteria
epidemiology
M. bovis
anti-TNF-α
url https://wwwnc.cdc.gov/eid/article/17/3/10-1111_article
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