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Microbiology · Brucella: blood culture technique
Sample itemA laboratory in Punjab suspects brucellosis in a dairy farmer and wants to culture his blood while keeping laboratory staff safe and avoiding repeated opening of the bottle. Which technique is best?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Castaneda biphasic bottle with broth and agar slant, incubated up to 4 weeks
The Castaneda method uses a single bottle with broth and an agar slant. The broth is tilted over the slant at intervals, so subculture is done without opening the bottle, lowering contamination and aerosol risk. Brucella grows slowly, so incubation is prolonged, up to 4 weeks, with capnophilic conditions for some species.
Option by option
A. Castaneda biphasic bottle with broth and agar slant, incubated up to 4 weeks (correct)
Correct. A biphasic bottle allows serial subculture without opening and supports slow growth.
B. Thioglycollate broth incubated anaerobically
Brucella is a strict aerobe, so anaerobic thioglycollate culture is not appropriate.
C. Blood agar plate incubated aerobically for 24 hours
A single aerobic blood agar plate for 24 hours is too short for slow-growing Brucella and requires opening the culture.
D. Lowenstein-Jensen slope incubated at 37 degrees C
Lowenstein-Jensen medium is for mycobacteria and not the standard for Brucella blood culture.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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