Q fever: a contemporary case series from a Belgian hospital.

Abstract:

OBJECTIVES:Q fever is a global zoonosis that can cause both acute and chronic infections in humans through aerogenic transmission. Although Q fever was discovered already 80 years ago, this infectious disease remains largely unknown. We studied a case series in a Belgian tertiary care hospital. METHODS:A laboratory and file query at our department was performed to detect patients who were newly diagnosed with Q fever from 01 January 2005 to 01 October 2014. RESULTS:In total, 10 acute Q fever and 5 chronic Q fever infections were identified. An aspecific flu-like illness was the prevailing manifestation of acute Q fever, while this was infective endocarditis in chronic Q fever cases. Noteworthy are the high percentage of myocarditis cases in the acute setting and one case of amyloidosis as a manifestation of chronic Q fever. No evolution from acute to chronic Q fever was noted; overall outcome for both acute and chronic Q fever was favourable with a 94% survival rate. DISCUSSION:Q fever is an infectious disease characterised by a variable clinical presentation. Detection requires correct assessment of the clinical picture in combination with a laboratory confirmation. Treatment and follow-up are intended to avoid a negative outcome.

journal_name

Acta Clin Belg

journal_title

Acta clinica Belgica

authors

Vanderbeke L,Peetermans WE,Saegeman V,De Munter P

doi

10.1080/17843286.2016.1165397

subject

Has Abstract

pub_date

2016-10-01 00:00:00

pages

290-296

issue

5

eissn

1784-3286

issn

2295-3337

journal_volume

71

pub_type

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