Q Fever in Children

Ruiz–Contreras, Jesús; Montero, R González; Corradi, Elisa Giancaspro; Vera, Attilio Scarpellini

doi:10.1001/archpedi.1993.02160270062019

Cited by 7 publications

(11 citation statements)

References 12 publications

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“…The literature suggests that the clinical manifestations of Q fever vary with age (3,5,(16)(17)(18), strain of organism (13,19,21), presence of immunosuppression (20)(21)(22)(23), density of inoculum (4,5) and route of infection (12,24). Our previously reported human cases (2) were similar to those reported in Ontario (25), with a febrile syndrome and abnormal liver tests, but rarely manifesting respiratory symptoms.…”

Section: Discussionsupporting

confidence: 69%

Importance of Q Fever in Community Acquired Pneumonia

Goyette¹,

Bouchard²,

Poirier³

et al. 1996

Canadian Journal of Infectious Diseases

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Coxiella burnetiiappears to be endemic in animals in the Mauricie region of Quebec, and causes some human cases of Q fever annually. Unlike in other rural areas, patients in this study experienced few respiratory symptoms. To determine whetherC burnetiipneumonia is underdiagnosed, adults admitted to hospital for community acquired pneumonia were included in a one-year serological study. Significant immunofluorescent antibody (IFA) titres in four of 118 patients with pneumonia (fewer than 4%) were studied. Clinical presentation, standard laboratory tests and epidemiological data did not allow identification of these cases; however, Q fever increased during the warm months. There were no detectable complement fixing (CF) antibodies in these four cases.C burnetiicauses few cases of pneumonia in Mauricie. IFA seems to be a more sensitive test than CF.

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Section: Discussionsupporting

confidence: 69%

Importance of Q Fever in Community Acquired Pneumonia

Goyette¹,

Bouchard²,

Poirier³

et al. 1996

Canadian Journal of Infectious Diseases

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“…Similarly, in a pediatric series from Spain, half of the children presented with fever and headache. 3 Headache is frequently encountered in patients with Q fever. 1,6,9 The duration of fever in our patients was generally short, with fever ceasing within seven to ten days in all of them.…”

Section: Discussionmentioning

confidence: 99%

“…This is in agreement with two other pediatric series. 2,3 In contrast, longer febrile courses have been observed in adults, with fever lasting for more than two weeks in 60% of those > 40 years old. 1,9 Meningitis accounted for two of the eight cases of Q fever diagnosed in our study, which is noteworthy.…”

Section: Discussionmentioning

confidence: 99%

“…Pediatric cases of Q fever meningitis and encephalitis have been occasionally reported. 3,24,25 In the largest series on Q fever to date of 1,383 patients hospitalized in France over a 14-year period, CNS infection represented approximately 1% of the acute cases. 6 The difference in the incidence of CNS infection between this study and ours may be attributed to the variations in tissue tropism of the different C. burnetii strains that prevail within different regions.…”

Section: Discussionmentioning

confidence: 99%

“…Q fever in children has been rarely reported and may remained underdiagnosed. 2,3 This is a two-year prospective study of the incidence, epidemiology, and clinical manifestations of Q fever among children hospitalized in a tertiary care hospital in Athens, Greece. Investigation for Q fever was performed at the French National Reference Center and World Health Organization Collaborative Center for Rickettsial Diseases in Marseille, France.…”

Section: Introductionmentioning

confidence: 99%

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Q Fever in Children in Greece

MALTEZOU¹,

KALLERGI²,

CONSTANTOPOULOU³

et al. 2004

The American Journal of Tropical Medicine and Hygiene

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The aim of this study was to investigate the incidence, epidemiology, and clinical manifestations of Q fever among hospitalized children in Greece. During a two-year period, 1,200 children with various clinical manifestations were prospectively tested for Coxiella burnetii infection by indirect immunofluorescence. Acute Q fever was diagnosed in eight (0.67%) patients. No chronic case of infection was detected. Multivariate analysis showed that children 11-14 years old and children reporting consumption of cheese from rural areas were at increased risk for this illness. Clinical manifestations of acute Q fever were pneumonia (two patients), meningitis (two), prolonged fever (two), hepatitis (one), and hemolytic-uremic syndrome (one). Q fever accounted for 2.9% of the cases with prolonged fever, 1.2% of the cases of meningitis, and 0.5% of the cases of pneumonia. Fever and headache were the most common symptoms at presentation. Our study indicates that Q fever is a rare cause of hospitalization during childhood.

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Q Fever (Coxiella burnetii)

Reller¹,

Dumler²

2011

Nelson Textbook of Pediatrics

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Q Fever in Children

Cited by 7 publications

References 12 publications

Importance of Q Fever in Community Acquired Pneumonia

Importance of Q Fever in Community Acquired Pneumonia

Q Fever in Children in Greece

Q Fever (Coxiella burnetii)

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