在马略卡岛急性Q热 2017-2022年. 一个被低估的问题
Mercedes García-Gasalla1, Sophia Pinecki Socias2, Pablo A Fraile3
1Servicio de Medicina Interna, Hospital Universitario Son Espases, Palma, Balearic Islands, Spain; Instituto de Investigación Sanitaria Illes Balears (IdISBa), Palma, Balearic Islands, Spain; Facultad de Medicina, Universidad de las Islas Baleares, Palma, Balearic Islands, Spain; CIBER en Enfermedades Infecciosas, Instituto de Salud Carlos III (CIBERINFEC), Madrid, Spain.
概括
急性Q热 (AQF) 显著影响马略卡,在2017-2022年期间发现了223例病例. 这种可预防的动物性传染病导致大量的疾病和死亡率,突出显示了需要增加识别的必要性.
科学领域:
- 传染性疾病 传染性疾病
- 流行病学 流行病学
- 动物传播感染 动物传播感染
背景情况:
- Q热 (QF) 是一种由Coxiella burnetii引起的动物感染.
- 之前的研究表明,梅尔卡岛的QF发病率可能很高.
- 这项研究旨在从2017年到2022年在马略加特征急性Q热 (AQF).
研究的目的:
- 为了确定马约卡岛AQF的流行病学特征.
- 描述AQF病例的临床,诊断和治疗特征.
- 为了评估岛上AQF的负担.
主要方法:
- 在马略卡的医院诊断的AQF病例的回顾性分析 (2017-2022年).
- 根据临床表现和特定的血清学标准确定,非常可能和可能的AQF的纳入标准.
- 使用的血清标记包括IgG血清转化,IgG标位和IgM阳性.
主要成果:
- 诊断出223例AQF病例:102例确诊,84例非常可能,37例可能.
- 最常见的临床表现包括长期发烧综合征 (48.0%) 和肺炎 (21.9%).
- AQF导致1.8%的死亡率,三名患者患有内心炎.
结论:
- 急性Q热是马略卡的一个重要,未被认可的动物性疾病.
- 这些发现强调了与AQF相关的大量发病率和死亡率.
- AQF是一种可预防的疾病,需要更多的认识和诊断努力.
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