Bichat guidelines for the clinical management of Q fever and bioterrorism-related Q fever.

Abstract:

:Q fever is a zoonotic disease caused by Coxiella burnetii. Its interest as a potential biological weapon stems from the fact that an aerosol of very few organisms could infect humans. Another route of transmission of C. burnetii could be through adding it to the food supply. Nevertheless, C. burnetii is considered to be one of the less suitable candidate agents for use in a bioterrorist attack; the incubation is long, many infections are inapparent and the mortality is low. In the case of an intentional release of C. burnetii by a terrorist, clinical presentation would be similar to naturally occurring disease. It may be asymptomatic, acute, normally accompanied by pneumonia or hepatitis, or chronic, usually manifested as endocarditis. Most cases of acute Q fever are asymptomatic and resolve spontaneously without specific treatment. Nevertheless, treatment can shorten the duration of illness and decrease the risk of complications such as endocarditis. Post-exposure prophylaxis is recommended after the exposure in the case of a bioterrorist attack.

journal_name

Euro Surveill

authors

Bossi P,Tegnell A,Baka A,Van Loock F,Hendriks J,Werner A,Maidhof H,Gouvras G,Task Force on Biological and Chemical Agent Threats, Public Health Directorate, European Commission, Luxembourg.

keywords:

subject

Has Abstract

pub_date

2004-12-15 00:00:00

pages

E19-20

issue

12

eissn

1025-496X

issn

1560-7917

pii

508

journal_volume

9

pub_type

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