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[Q-fever imported into Norway]

M Jensenius1, A Maeland, D Kvale

  • 1Medisinsk avdeling, Lovisenberg diakonale sykehus, Oslo.

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|January 24, 1998
PubMed
Summary

This study reports the first four imported cases of acute Q fever in Norway, a country previously without endemic disease. These cases highlight the risk of acquiring Coxiella burnetii infection while traveling internationally.

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Area of Science:

  • Infectious Diseases
  • Zoonoses
  • Microbiology

Background:

  • Q fever is a global zoonotic disease caused by Coxiella burnetii.
  • Norway has historically shown no evidence of endemic Q fever.
  • Infection typically occurs via inhalation of contaminated aerosols from livestock.

Observation:

  • Presents the first four serologically confirmed cases of acute Q fever imported into Norway.
  • All patients were Norwegian tourists returning from international travel (Bhutan, Canary Islands, Morocco).
  • Clinical presentations varied, including fever with rash, pneumonia, and hepatitis.

Findings:

  • The four imported cases demonstrate the potential for Q fever introduction into non-endemic regions.
  • Diverse clinical manifestations were observed, underscoring the protean nature of the disease.

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  • Treatment with tetracyclines was effective in three patients, leading to recovery.

    • Implications:

    • Highlights the importance of considering imported Q fever in differential diagnoses for febrile illnesses in travelers returning to Norway.
    • Suggests the need for increased awareness and diagnostic vigilance for Q fever in non-endemic settings.
    • Emphasizes the global reach of Coxiella burnetii and the risk associated with international travel.