Objectives Between July 2, 2021, and September 20, 2022, a Mycobacterium bovis outbreak occurred among exhibition animals at a zoo in the Republic of Korea. This study was conducted to assess the likelihood of M. bovis transmission to human contacts through a contact investigation and to implement preventive treatment for latent tuberculosis infection (LTBI). Methods: In this descriptive study, the Korea Disease Control and Prevention Agency conducted a contact investigation, which included interviews, interferon-gamma release assay (IGRA) tests, and chest X-rays. Contacts underwent IGRA testing on 2 occasions: initial testing of 29 contacts (15 in the first cluster of infection and 14 in the second cluster) and follow-up testing of the 15 contacts in the first cluster. Results: The study included 29 participants, 18 of whom were male (62.1%) and 11 female (37.9%). The mean participant age was 37.3 years (standard deviation, 9.6 years). In the initial IGRA tests, 6 of the 29 participants tested positive, indicating a prevalence of 20.7%. Following prolonged exposure, 1 additional positive case was detected in follow-up testing, raising the prevalence of LTBI to 24.1%. None of the contacts had active tuberculosis. Among the 7 individuals with positive results, 2 (28.6%) underwent treatment for LTBI. Conclusion: This study faced challenges in confirming the transmission of M. bovis infection from infected animals to humans in the Republic of Korea. Nevertheless, adopting a One Health approach necessitates the implementation of surveillance systems and infection control protocols, particularly for occupational groups at high risk of exposure.
Citations
Citations to this article as recorded by
First Report of Mycobacterium bovis and Nocardia spp. Co-Infection in a Roan Antelope Luca Botta, Matteo Cuccato, Neva Cormio, Veronica Crocchianti, Maria Goria, Emanuelle Bergeron, Delphine Mouniée, Veronica Rodriguez Nava, Frine Eleonora Scaglione Animals.2026; 16(11): 1721. CrossRef
Prevalence and molecular characterization of enteric zoonotic pathogens in zoo-housed mammals in Korea Hyo-Min Woo, In Jung Jung, Beoul Kim, You-Jeong Lee, Jae-Woo Choi, Insu Choi, Garam Kim, Weon-Hwa Jheong, Byoungcheun Lee, Kyoo-Tae Kim, Min-Goo Seo One Health.2026; 23: 101568. CrossRef
Identification of zoonotic pathogens in zoo animals in the Republic of Korea Jinho Um, Jeongho Kim, Seok-Jin Cho, Min-ho Park, Hyung-Chul Cho, Yu-Jin Park, Kyoung-Seong Choi International Journal for Parasitology: Parasites .2025; 27: 101067. CrossRef
First report of human Mycobacterium bovis infection in a veterinary laboratory worker in the Republic of Korea Ji-Yeon Lee, Seong Wook Pyo, Jieun Kim, Young-Joon Park Osong Public Health and Research Perspectives.2025; 16(3): 292. CrossRef
Objectives
South Koreans receive the bacillus Calmette-Guerin (BCG) vaccination, which influence the result of the tuberculin skin test (TST); however, only a few studies have described the usefulness of the TST and interferon-γ release assay (IGRA) for diagnosing latent TB infection (LTBI). Therefore, our aim was to determine the usefulness of the TST and IGRA for diagnosing LTBI in a household contacts investigation. Methods
We reviewed the 329 household contacts who visited Chung-Ang University Hospital (Seoul, Korea) from May 1, 2011 to February 28, 2014. To evaluate the effectiveness of TST and IGRA for the diagnosis of LTBI, we examined the concordance rate between the two tests, based on age. We also evaluated the risk factors for LTBI. Results
The concordance rate between the two tests in individuals 0–24 years, 25–54 years, and over 55 years were 82.6% (κ = 0.64, <i>p</i> < 0.01), 68.9% (κ = 0.40, <i>p</i> < 0.01), and 68.4% (κ = 0.35, <i>p</i> < 0.01), respectively. The ratio of positive TST to negative IGRA was higher in individuals 25–44 years old, whereas the ratio of negative TST to positive IGRA was higher in individuals older than 55 years old. Based on the TST, the risk factor for LTBI was a cavity (<i>p</i> < 0.01). When using IGRA, the risk factors were contact time (<i>p</i> = 0.04) and age over 55 years old (<i>p</i> = 0.02). Conclusion
The concordance rate between TST and IGRA was not good after the age of 25 years. The IGRA test reflects the known risk factors more exactly.
Citations
Citations to this article as recorded by
Predictive value of interferon-gamma release assays and tuberculin skin test for latent tuberculosis infection: A systematic review and meta-analysis of head-to-head comparative tests Qing-Hua Gao, Hong-Bo Chen, Yun Huang, Shun-Li Cai, Li-Ping Chen, Yong-Ning Yi, Qiao-Li Zhang, Xin Guo, Xue-Song Chen, Yan Dong, Gui-Lan Xia, Guo-Zhong Zhou, Jian He Journal of Microbiology, Immunology and Infection.2026; 59(4): 438. CrossRef
Tuberculosis Control Protocols in the European Region: A Brief Overview Aimilios Pliatsikas, Costas Tsiamis, Joseph Papaparaskevas, Georgia Vrioni, Athanasios Tsakris Acta Microbiologica Hellenica.2026; 71(3): 26. CrossRef
Evaluation of the QuantiFERON®-TB Gold In-Tube Assay and Tuberculin Skin Test for the Diagnosis of Latent Tuberculosis Infection in an Iranian Referral Hospital Babak Pourakbari, Korosh Yousefi, Shima Mahmoudi, Reihaneh H. Sadeghi, Setareh Mamishi Infectious Disorders - Drug Targets.2019; 19(2): 141. CrossRef
Household tuberculosis contact investigation in a tuberculosis-prevalent country Jung Seop Eom, Insu Kim, Won-Young Kim, Eun-Jung Jo, Jeongha Mok, Mi-Hyun Kim, Kwangha Lee, Ki Uk Kim, Hye-Kyung Park, Min Ki Lee Medicine.2018; 97(3): e9681. CrossRef
QuantiFERON-TB Gold In-tube test for the diagnosis of active and latent tuberculosis in selected health facilities of Addis Ababa, Ethiopia Selam Niguse, Kassu Desta, Gebremdihin Gebremichael, Atsebeha Gebrezgeaxier, Mulluwork Getahun, Desta Kassa BMC Research Notes.2018;[Epub] CrossRef
Predictors for false-negative QuantiFERON-TB Gold assay results in patients with extrapulmonary tuberculosis Youn Jeong Kim, Ji Young Kang, Sang Il Kim, Mee Soo Chang, Yang Ree Kim, Yeon Joon Park BMC Infectious Diseases.2018;[Epub] CrossRef
Detection and Identification of Bovine Tuberculosis in Indian Cattle (Bos indicus) S.K. Shukla, A Chauhan, S. Shukla, M. Panigrahi, B. Bhushan, S. Maurya, Sarvjeet, R. Maurya, Vinay K. Saxena, S. Kumar, C. Prakash, R.V. Singh Journal of Pure and Applied Microbiology.2016; 10(2): 1579. CrossRef