Tuberculose miliar e febre Q em doente imunocompetente

Abstract

Miliary tuberculosis is a progressive disease resulting from the massive hematogeneous dissemination of Mycobacterium tuberculosis. Immunocompromised and elderly patients are the most affected. A case of an immunocompetent 45 year old man, with miliary tuberculosis and a simultaneous infection by Coxiella burnetti is presented. The clinical presentation demands a high awareness for the presence of tuberculosis. The rarity of this association, only one case reported in literature, appears to be a fortuity coincidence.

cute Q fever in Portugal. Epidemiological and clinical features of 32 hospitalized patients

“…4,28,29 Studies of cattle have also shown a high seroprevalence of C burnetii infection suggesting that Q fever is far from being a negligible disease in Portugal. 30,31 Despite several clinical cases of Q fever reported in the Portuguese literature, [32][33][34] only two studies have investigated the clinical and epidemiological situation of the disease in the country. 27,35 Q fever is a notifiable disease in Portugal since January 1, 1999 and an average of 0.1 cases per 10 5 inhabitants per year have been reported.…”