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Alhogail S, Chinnappan R, Suaifan GA, Abu-Salah KM, Al-Kattan K, Cialla-May D, Jürgen P, Zourob MM. Rapid Colorimetric Quantita2tive Portable Platform for Detection of Brucella melitensis Based on a Fluorescence Resonance Energy Transfer Assay and Nanomagnetic Particles. ACS OMEGA 2024; 9:20997-21005. [PMID: 38764637 PMCID: PMC11097372 DOI: 10.1021/acsomega.4c00192] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/06/2024] [Revised: 03/06/2024] [Accepted: 03/11/2024] [Indexed: 05/21/2024]
Abstract
Brucellosis is a bacterial zoonotic disease that requires major attention for both health and financial facilities in many parts of the world including the Mediterranean and the Middle East. The existing gold standard diagnosis relies on the culturing technique, which is costly and time-consuming with a duration of up to 45 days. The Brucella protease biosensor represents a new detection approach that will lead to low-cost point-of-care devices for sensitive Brucella detection. In addition, the described diagnostic device is portable and simple to operate by a nurse or non-skilled clinician making it appropriate for the low-resource setting. In this study, we rely on the total extracellular protease proteolytic activity on specific peptide sequences identified using the FRET assay by high-throughput screening from the library of peptide (96 short peptides such as dipeptides and tripeptides) substrates for Brucella melitensis (B. melitensis). The B. melitensis-specific protease substrate was utilized in the development of the paper-based colorimetric assay. Two specific and highly active dipeptide substrates were identified (FITC-Ahx-K-r-K-Ahx-DABCYL and FITC-Ahx-R-r-K-Ahx-DABCYL). The peptide-magnetic bead nanoprobe sensors developed based on these substrates were able to detect the Brucella with LOD as low as 1.5 × 102 and 1.5 × 103 CFU/mL using K-r dipeptide and R-r dipeptide substrates, respectively, as the recognition element. The samples were tested using this sensor in few minutes. Cross-reactivity studies confirmed that the other proteases extracted from closely related pathogens have no significant effect on the sensor. To the best of our knowledge, this assay is the first assay that can be used with low-cost, rapid, direct, and visual detection of B. melitensis.
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Affiliation(s)
- Sahar Alhogail
- Department
of Clinical Laboratory Science, King Saud
University, Ad Diriyah
District, Riyadh 11433, Kingdom of Saudi Arabia
| | - Raja Chinnappan
- Department
of Chemistry, Alfaisal University, Al Zahrawi Street, Al Maather, Al
Takhassusi Rd., Riyadh 11533, Saudi Arabia
| | - Ghadeer A.R.Y. Suaifan
- Department
of Pharmaceutical Sciences, Faculty of Pharmacy, The University of Jordan, Amman 11942, Jordan
| | - Khalid M. Abu-Salah
- Department
of Nanomedicine, King Abdullah International
Medical Research Center/King Saud bin Abdulaziz University for Health
Sciences, King Abdulaziz Medical City, P.O. Box 3660, Riyadh 11481, Saudi Arabia
| | - Khaled Al-Kattan
- College
of Medicine, Alfaisal University, Al Zahrawi Street, Al Maather, Al
Takhassusi Rd., Riyadh 11533, Saudi Arabia
- Lung
Health Centre, Organ Transplant Centre of Excellence, King Faisal Specialist Hospital and Research Centre, Riyadh 11211, Saudi Arabia
| | - Dana Cialla-May
- Institute
of Physical Chemistry and Abbe Center of Photonics, Friedrich Schiller University Jena, Helmholtzweg 4, Jena 07743, Germany
- Center
for Applied Research, InfectoGnostics Research
Campus Jena, Philosophenweg
7, Jena 07743, Germany
- Leibniz
Institute of Photonic Technology, Albert-Einstein-Straße 9, Jena 07745, Germany
| | - Popp Jürgen
- Institute
of Physical Chemistry and Abbe Center of Photonics, Friedrich Schiller University Jena, Helmholtzweg 4, Jena 07743, Germany
- Center
for Applied Research, InfectoGnostics Research
Campus Jena, Philosophenweg
7, Jena 07743, Germany
- Leibniz
Institute of Photonic Technology, Albert-Einstein-Straße 9, Jena 07745, Germany
| | - Mohammed M. Zourob
- Department
of Chemistry, Alfaisal University, Al Zahrawi Street, Al Maather, Al
Takhassusi Rd., Riyadh 11533, Saudi Arabia
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Hassan MA, Noor F, Salehi A, Al Hariri B. Brucellosis an Unusual presentation as isolated septic mono-arthritis of the knee joint: A case report. Heliyon 2024; 10:e26612. [PMID: 38420443 PMCID: PMC10901018 DOI: 10.1016/j.heliyon.2024.e26612] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2023] [Revised: 02/03/2024] [Accepted: 02/16/2024] [Indexed: 03/02/2024] Open
Abstract
Brucellosis is a zoonotic infection that is widely spread across the world. It is becoming more common in Middle Eastern countries such as Qatar, Saudi Arabia, and the Mediterranean region. Despite this, we need to remain vigilant as it is still prevalent in many parts of the world. The most common presentation is musculoskeletal, but it can also present as septic arthritis in the sacroiliac, hip, or knee joints. Brucella melitensis was only found in one extended culture of synovial fluid. Treatment involved a combination of antimicrobial therapy using gentamycin, doxycycline, and rifampin. A high level of suspicion for brucellosis is necessary for any patient coming from an endemic region with non-specific and chronic arthritis to ensure early diagnosis and treatment. In this case, we present a 28-year-old male who was diagnosed with Brucellosis after developing acute septic arthritis.
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Affiliation(s)
- Muad Abdi Hassan
- Medical Education Department, Hamad Medical Corporation, Doha, Qatar
| | - Fatima Noor
- Medical Education Department, Hamad Medical Corporation, Doha, Qatar
| | - Aram Salehi
- Department of Medicine, Hamad Medical Corporation, Doha, Qatar
| | - Bassem Al Hariri
- Department of Medicine, Hamad Medical Corporation, Doha, Qatar
- College of Medicine, Qatar University, Qatar
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Zhang W, Zhang Y, Wang J, Ma R, Zhang Q. Recurrent Arthritis Caused by Brucella melitensis in a Chinese Adult: A Case Report. Infect Drug Resist 2022; 15:7235-7240. [DOI: 10.2147/idr.s378035] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2022] [Accepted: 12/02/2022] [Indexed: 12/13/2022] Open
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Al Hariri B, Zuhair M, Nashwan AJ. Brucellosis unusually presented as septic knee arthritis: A case report. Clin Case Rep 2022; 10:e6461. [PMID: 36254145 PMCID: PMC9558584 DOI: 10.1002/ccr3.6461] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2022] [Revised: 10/05/2022] [Accepted: 10/05/2022] [Indexed: 11/11/2022] Open
Abstract
Brucellosis is one of the world's most prevalent zoonotic illnesses. The most often afflicted joints are the sacroiliac joints, although spondylitis and peripheral arthritis are becoming increasingly prevalent. We described a case of a 40‐year‐old male patient with Brucellosis presented as septic knee arthritis.
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Affiliation(s)
- Bassem Al Hariri
- Internal Medicine DepartmentHazm Mebaireek General Hospital, Hamad Medical CorporationDohaQatar
| | - Mohanned Zuhair
- Internal Medicine DepartmentHazm Mebaireek General Hospital, Hamad Medical CorporationDohaQatar
| | - Abdulqadir J. Nashwan
- Nursing DepartmentHazm Mebaireek General Hospital, Hamad Medical CorporationDohaQatar
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Al Jindan R. Scenario of pathogenesis and socioeconomic burden of human brucellosis in Saudi Arabia. Saudi J Biol Sci 2021; 28:272-279. [PMID: 33424306 PMCID: PMC7783673 DOI: 10.1016/j.sjbs.2020.09.059] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2020] [Revised: 08/06/2020] [Accepted: 09/28/2020] [Indexed: 01/18/2023] Open
Abstract
Brucellosis is considered a prevailing endemic infectious disease in the Kingdom of Saudi Arabia and represents a health problem with socio-economic burden. There are two main Brucella species that cause human brucellosis; Brucella abortus, and Brucella melitensis. The clinical features range from asymptomatic to the acute symptoms of fever, joint pain, muscle pain, headache, nausea/vomiting, anorexia and malaise in addition to the subsequent complications that might occur. The endemicity of brucellosis might be explained due to obstacles in controlling the importation of animals for slaughtering during Hajj periods and for several other predisposing factors. The distribution of the disease is all over the country and the most prevalent part is the south followed by north and then the east and central parts. However, in the complexity of brucellosis control measures, there are several activities which have been implemented to tackle the disease such as mass vaccination of animals, regulating importation of slaughter animals, and improving public awareness. This review provides a detailed description of the status of brucellosis in Saudi Arabia, which includes epidemiology, clinical characteristics, virulence and pathophysiology, and prevention of the disease.
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Affiliation(s)
- Reem Al Jindan
- Department of Microbiology, College of Medicine, Imam Abdulrahman Bin Faisal University (IAU), Dammam, Saudi Arabia
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Esmaeilnejad-Ganji SM, Esmaeilnejad-Ganji SMR. Osteoarticular manifestations of human brucellosis: A review. World J Orthop 2019; 10:54-62. [PMID: 30788222 PMCID: PMC6379739 DOI: 10.5312/wjo.v10.i2.54] [Citation(s) in RCA: 49] [Impact Index Per Article: 9.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/13/2018] [Revised: 11/29/2018] [Accepted: 12/17/2018] [Indexed: 02/06/2023] Open
Abstract
Brucellosis is a common global zoonotic disease, which is responsible for a range of clinical manifestations. Fever, sweating and musculoskeletal pains are observed in most patients. The most frequent complication of brucellosis is osteoarticular involvement, with 10% to 85% of patients affected. The sacroiliac (up to 80%) and spinal joints (up to 54%) are the most common affected sites. Spondylitis and spondylodiscitis are the most frequent complications of brucellar spinal involvement. Peripheral arthritis, osteomyelitis, discitis, bursitis and tenosynovitis are other osteoarticular manifestations, but with a lower prevalence. Spinal brucellosis has two forms: focal and diffuse. Epidural abscess is a rare complication of spinal brucellosis but can lead to permanent neurological deficits or even death if not treated promptly. Spondylodiscitis is the most severe form of osteoarticular involvement by brucellosis, and can have single- or multi-focal involvement. Early and appropriate diagnosis and treatment of the disease is important in order to have a successful management of the patients with osteoarticular brucellosis. Brucellosis should be considered as a differential diagnosis for sciatic and back pain, especially in endemic regions. Patients with septic arthritis living in endemic areas also need to be evaluated in terms of brucellosis. Physical examination, laboratory tests and imaging techniques are needed to diagnose the disease. Radiography, computed tomography, magnetic resonance imaging (MRI) and bone scintigraphy are imaging techniques for the diagnosis of osteoarticular brucellosis. MRI is helpful to differentiate between pyogenic spondylitis and brucellar spondylitis. Drug medications (antibiotics) and surgery are the only two options for the treatment and cure of osteoarticular brucellosis.
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Affiliation(s)
- Seyed Mokhtar Esmaeilnejad-Ganji
- Clinical Research Development Center, Shahid Beheshti Hospital, Babol University of Medical Sciences, Babol 47176-47745, Iran
- Department of Orthopedics, Babol University of Medical Sciences, Babol 47176-47745, Iran
- Infectious Diseases and Tropical Medicine Research Center, Health Research Institute, Babol University of Medical Sciences, Babol 47176-47745, Iran
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