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A rare case of Brucella melitensis infection in an obstetrician during the delivery of a transplacentally infected infant.

Poulou A, Markou F, Xipolitos I, Skandalakis PN

Department of Clinical Microbiology, General Hospital of Serres, 3rd Km Serres-Drama National Road, Serres, Greece. xanthop@otenet.gr

We report a case of Brucella melitensis infection in an obstetrician who was infected during the delivery of an infant suffering from congenital brucellosis. The obstetrician was treated with doxycycline and rifampin and fully recovered. This is the first reported case of Brucella infection transmitted through infectious secretions at the delivery of a transplacentally infected newborn and emphasizes that, especially in endemic areas educational and technical measures are needed in order the obstetricians to avoid ingestion of secretions during clearance of the newborn's respiratory tract from saliva and amniotic fluid.

Published 4 July 2006 in J Infect, 53(1): e39-41.
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