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Acute Q fever lobar pneumonia: a case report
Maria Tsironi1, Panagiotis Andriopoulos, Spiros Fokas
1Department of Internal Medicine, Sparta General Hospital, 23100 Sparta, Greece. gpoyl@otenet.gr
Abstract:
Q fever is a zoonotic disease caused by Coxiella burnetii-an obligate, Gram-negative, intracellular bacteria. Acute febrile illness, hepatitis, and atypical pneumonia are the three most common manifestations, whereas lobar pneumonia is rarely reported among acute Q fever patients. We report a case of acute Q fever with lobar pneumonia and multi-organ involvement.
Insights
Q fever, a zoonotic disease, rarely presents as lobar pneumonia. This case highlights acute Q fever with lobar pneumonia and multi-organ involvement, expanding clinical understanding.
Area of Science:
- Infectious Diseases
- Bacteriology
- Public Health
Background:
- Q fever is a zoonotic illness caused by Coxiella burnetii, an intracellular bacterium.
- Common presentations include acute febrile illness, hepatitis, and atypical pneumonia.
- Lobar pneumonia is an uncommon manifestation of acute Q fever.
Observation:
- This report details a rare case of acute Q fever.
- The patient presented with lobar pneumonia, a seldom-reported manifestation.
- The illness involved multiple organ systems.
Findings:
- The case confirms Coxiella burnetii can cause acute Q fever presenting as lobar pneumonia.
- Multi-organ involvement was a significant feature of this rare presentation.
- This underscores the diverse clinical spectrum of Q fever.
Implications:
- Clinicians should consider Q fever in cases of lobar pneumonia, especially with multi-organ involvement.
- Enhanced diagnostic awareness may improve early detection and treatment of rare Q fever presentations.
- Further research into atypical Q fever manifestations is warranted.
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