Q FEVER: A CONTINUING DIAGNOSTIC PROBLEM IN WEST TEXAS AND EASTERN NEW MEXICO

Autor: Robert C. Kimbrough, S Sehli, C. A. Jumper, M. Shaw, M. Robinson
Rok vydání: 2007
Předmět:
Zdroj: Journal of Investigative Medicine. 55:S269-S270
ISSN: 1081-5589
DOI: 10.1097/00042871-200701010-00655
Popis: Background Q fever is a widespread zoonotic infection caused by the pathogen Coxiella burnetii that has both acute and chronic manifestations. Q fever may present as a fever of unknown origin (FUO). We examined three cases of Q fever in west Texas and eastern New Mexico: two chronic and one acute that presented as FUO. Q fever usually occurs following exposure to infected animals. Q fever continues to be a diagnostic possibility in patients with FUO and animal exposure in the southwestern United States. Methods Cases review from medical records at our institution 2000-2006. Results: Discussion Q fever may present as an acute or chronic febrile illness, either of which can have nonspecific symptoms and signs. Serologic studies are necessary for the diagnosis. Phase I and phase II serology will differentiate between acute and chronic disease. Although somewhat slow and costly, these studies are key to appropriate diagnosis and therapy. Conclusion Q fever continues to be a diagnostic problem in west Texas and eastern New Mexico.
Databáze: OpenAIRE