Q Fever in the First Trimester: A Case Report from Northern Rural New South Wales

Marks, S R; Olenski, Maxwell

doi:10.3390/tropicalmed4020090

Cited by 2 publications

(1 citation statement)

References 12 publications

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“…In humans, this infection is generally acquired by inhalation of infected aerosols during contact with meat products, although transmission has occurred by tick bite and ingestion of infected milk. Infections may be acute or persistent [28,30]. Q fever infection increases the risk of abortions in early pregnancy and prematurity or intrauterine fetal demise in late pregnancy [24,47].…”

Section: Q Fevermentioning

confidence: 99%

Stillbirths’ microbiology: a favorable time for post-mortem microbiology

et al. 2023

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Post-Mortem Microbiology (PMM) aims to detect infections that could be a cause of stillbirth. A newborn having no sign of life after delivery is defined as stillbirth. Different infections could cause a chain of events leading to stillbirth but the relationships between maternal infection and stillbirth are often not very clear; as a matter of fact, the positive serologic tests do not prove causality. Screening, prevention, and treatment of maternal infections are important to reduce the stillbirth risk. The identification of an infectious agent that causes stillbirth through PMM is a shared aim by microbiologists, pathologists and surgeons, and it is also the common goal in clinical and forensic autopsies. The aim of this paper is a review the major infections that lead to stillbirths.

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Section: Q Fevermentioning

confidence: 99%

Stillbirths’ microbiology: a favorable time for post-mortem microbiology

et al. 2023

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Q fever during pregnancy: a narrative review

Ghanem-Zoubi

Paul

2020

Clinical Microbiology and Infection

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Background: Coxiella burnetii, the causative agent of Q fever, causes abortions in animals. Its effects on pregnancy in humans and the management of Q fever in pregnancy are uncertain. Objectives: To summarize data on the effects of Q fever on pregnancy in women, the effects of pregnancy on Q fever complications and the optimal screening and management of Q fever during pregnancy. Sources: We searched for studies reporting on Q fever during pregnancy in women. We included randomized and observational studies, seroprevalence studies, case series and case reports, including clinical and histopathological studies. Content: The accumulating data seems convincing that Q fever increases the risk of abortions in early pregnancy and prematurity or intrauterine fetal demise in late pregnancy. Data are based on seroepidemiological associations of Q fever and adverse pregnancy outcomes and case reports showing the presence and effects of C. burnetii on the placenta and the fetus. Based on observational studies, acquisition of Q fever during pregnancy also increases the risk for maternal chronic Q fever. Treatment of recently infected women seems to improve these outcomes, based on case series only, but the optimal duration of treatment has not been studied. The efficacy of active surveillance during pregnancy, timing and frequency have not been determined in high-endemicity settings. Obstetricians should be aware of the risk for transmission of the disease during delivery. Currently available data are based mostly on case series and case reports, with some discrepancy between the French experience in chronic endemicity settings and Dutch experience in outbreak settings. Implications: Since infection with Q fever is largely asymptomatic, we believe that the accumulating information linking Q fever to adverse pregnancy outcomes justifies screening in the high-endemicity setting and treatment of infected women. High-quality research addressing the questions raised by this review is needed to determine the optimal public health policy.

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Q Fever in the First Trimester: A Case Report from Northern Rural New South Wales

Cited by 2 publications

References 12 publications

Stillbirths’ microbiology: a favorable time for post-mortem microbiology

Stillbirths’ microbiology: a favorable time for post-mortem microbiology

Q fever during pregnancy: a narrative review

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