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Is Q fever an emerging infection in Turkey?

A Gozalan1, B Esen, J M Rolain

  • 1Department of Microbiology and Clinical Microbiology, Refik Saydam Hygiene Centre, Ankara, Turkey.

Eastern Mediterranean Health Journal = La Revue De Sante De La Mediterranee Orientale = Al-Majallah Al-Sihhiyah Li-Sharq Al-Mutawassit
|April 11, 2006
PubMed

Insights

An outbreak of acute fever in Turkey was identified as Q fever, caused by Coxiella burnetii. Prompt treatment with tetracyclines was effective, highlighting the need for future Q fever surveillance in the region.

Area of Science:

  • Infectious Diseases
  • Epidemiology
  • Microbiology

Background:

  • An outbreak of acute febrile illness occurred in northern Turkey near the Black Sea region between May and August 2002.
  • Initial clinical suspicion pointed towards rickettsial or ehrlichial infections due to rapid response to tetracyclines.

Purpose of the Study:

  • To identify the causative agent of the acute fever outbreak.
  • To characterize the clinical presentation and serological status of affected individuals.

Main Methods:

  • Serum and blood samples were collected from 19 patients presenting with acute fever.
  • Laboratory analysis was performed to identify the etiological agent and assess past infection status.

Main Results:

  • Coxiella burnetii was identified as the causative organism.
  • Seven cases were diagnosed with acute Q fever, and eight individuals were seropositive for past infection.
  • Common symptoms included vomiting, nausea, diarrhea, fever, abdominal pain, and headache, with all patients exhibiting elevated liver enzymes.

Conclusions:

  • The outbreak in northern Turkey was attributed to Coxiella burnetii, the agent responsible for Q fever.
  • Epidemiological investigation and surveillance for Q fever are crucial for this region in the future to prevent and manage potential outbreaks.

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