ISSN: 0973-7510

E-ISSN: 2581-690X

Research Article | Open Access
Hiba Sami1 , Kashish Noor1, Parvez A. Khan1, Lubna Zafar2, Aamir Bin Sabir3, Latif Zafar Jilani3, S. Zeeshan Ahmad Hashmi1, Haleema Ahmad1, Adil Raza1 and Nazish Fatima1
1Department of Microbiology, Jawaharlal Nehru Medical College and Hospital, Aligarh Muslim University, Aligarh, Uttar Pradesh, India.
2Department of Medicine, Jawaharlal Nehru Medical College and Hospital, Aligarh Muslim University, Aligarh, Uttar Pradesh, India.
3Department of Orthopaedic Surgery, Jawaharlal Nehru Medical College and Hospital, Aligarh Muslim University, Aligarh, Uttar Pradesh, India.
Article Number: 11019 | © The Author(s). 2026
J Pure Appl Microbiol. 2026;20(3):2558-2566. https://doi.org/10.22207/JPAM.20.3.52
Received: 03 October 2025 | Accepted: 23 July 2026 | Published online: 03 September 2026
Issue online: September 2026
Abstract

Brucellosis, a prevalent zoonotic disease in India, causes nonspecific symptoms. Humans contract it via infected animals or by consuming unpasteurized dairy products. This study evaluates the effectiveness of ELISA, Rose Bengal Plate Test (RBPT), and SAT in diagnosing brucellosis from clinical samples. A prospective study was conducted involving 218 patients with unknown fever, arthritis, and neurological symptoms. A detailed history was collected using a pre-designed questionnaire. This study aims to evaluate the clinical diagnostic efficacy of widely used serological assays for human brucellosis, focusing on their sensitivity, specificity, and applicability in clinical settings. Out of 218 clinical samples from suspected brucellosis patients, 129 tested positive for Brucella by either of the serological tests. Male:Female ratio was 1.04:1, and 60% of the patients had a clear history of exposure to cows, buffalo, and goats. ELISA IgG showed the highest positivity rates, identifying 64 (49.6%) cases; ELISA IgM detected 43 (33.3%) cases; the Serum Agglutination Test (SAT) identified 30 (23.2%) cases; RBPT detected 33 (25.5%) cases, and only 14 (10.8%) cases tested positive for ELISA IgG + ELISA IgM. The sensitivities of the ELISA IgG, ELISA IgM, RBPT, SAT, and ELISA IgG + ELISA IgM detection were 69.57%, 46.74%, 35.87%, 32.61%, and 15.22%, respectively, while the specificities were 100%, 100%, 75.40%, 84.92%, and 100%, respectively. ELISA can be used to diagnose human brucellosis reliably and is more sensitive than the SAT and RBPT.

Keywords

Brucellosis, Unknown Fever, RBPT, SAT, ELISA

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© The Author(s) 2026. Open Access. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License which permits unrestricted use, sharing, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.