Q fever: a revision of concepts

Authors

  • Ana Sofia Santos Mestre em Parasitologia Médica; Centro de Estudos de Vectores e Doenças Infecciosas, Instituto Nacional de Saúde Dr. Ricardo Jorge, Lisboa
  • Fátima Bacellar Doutorada em Biologia; Centro de Estudos de Vectores e Doenças Infecciosas, Instituto Nacional de Saúde Dr. Ricardo Jorge, Lisboa
  • Ana França Assistente Graduada de Medicina Interna. Especialista de Medicina Intensiva; Hospital Garcia de Orta, Almada

Keywords:

Infectious Zoonosis, Q Fever, Coxiella burnetii, Etiopathology, Clinical aspects, Epidemiology

Abstract

Q fever is a worldwide zoonosis caused by Coxiella burnetii. The
disease has a broad spectrum of clinical behaviour, ranging from
a limited febrile illness to life threatening forms such as endocarditis, with severe multi-organ involvement. In Portugal, Q fever
is a notifiable disease but the official data may not accurately
reflect its true incidence. This article revises the most important
aetiopathology, epidemiology and clinical aspects of the disease,
mentioning some of the national series in a way to sensitive
physicians about Q fever.

Downloads

Download data is not yet available.

References

Derrick EH. “Q” fever, new fever entity: clinical features, diagnosis and laboratory investigation. Med J Aust 1937; 2:281-299.

Burnet FM, Freeman M. Experimental studies on the virus of Q fever. Med J Aust 1937; 2:299-302.

Cox HR, Bell EJ. The cultivation of Rickettsia diaporica in tissue culture and in the tissues of developing chicken embryos. Public Health Rep 1939; 54:2171-2175.

Philip CB. Comments on the name of the Q fever organism. Public Health Rep 1948; 63:58-59.

Weisburg WG, Dobson ME, Samuel JE et al. Phylogenetic diversity of the Rickettsiae. J Bacteriol 1989; 171(8):4202-4206.

Hilbink F, Penrose M, Kovácová E, Kazár J. Q fever is absent from New Zealand. Int J Epidemiol 1993; 22(5):945-949.

Maurin M, Raoult, D. Q Fever. Clin Microbiol Rev 1999; 12(4):518-553.

Fonseca F, Pinto MR, Azevedo JF, Lacerda MT. Febre Q em Portugal. Clínica Contemporânea 1949; 3(21):1159-1164.

Fonseca F, Pinto MR, Azevedo JF, Lacerda MT. Febre Q em Portugal. Clínica Contemporânea 1949; 3(22):1218-1227.

Fonseca F, Pinto MR, Azevedo JF, Lacerda MT. Febre Q em Portugal. Clínica Contemporânea 1949; 3(23):1257-1271.

Fonseca F, Pinto MR, Azevedo JF, Lacerda MT. Febre Q em Portugal. Clínica Contemporânea 1949; 3(24):1315-1329.

Fonseca F, Pinto MR, Azevedo JF, Lacerda MT. Febre Q em Portugal. Clínica Contemporânea 1949; 3(25):1511-1516.

Fonseca F, Pinto MR, Azevedo JF, Lacerda MT. Febre Q em Portugal. Clínica Contemporânea 1949; 3(28):1567-1578.

Fonseca F, Pinto MR, Azevedo JF, Lacerda MT. Febre Q em Portugal. Clínica Contemporânea 1949; 3(29):1640-1644.

Pinto M. Febre Q. Jornal do Médico 1949; 13:305-311.16. http://www.dgsaude.pt.

Marrie TJ. Coxiella burnetii (Q fever) pneumonia. Clin Infect Dis 1995; 21(3):S253-S264.

Brouqui P, Dumler JS, Raoult D. Immunohistologic demonstration of Coxiella burnetii in the valves of patients with Q fever endocarditis. Am J Med 1994; 97(5):451-458.

Glazunova O, Roux V, Freylikman O et al. Coxiella burnetii genotyping. Emerg Infect Dis 2005; 11(8):1211-1217.

Svraka S, Toman R, Skultety L, Slaba K, Homan WL. Establisment of a genotyping scheme for Coxiella burnetii. FEMS Microbiol Lett 2006; 254(2):268-274.

Seshadri R, Paulsen IT, Eisen JA et al. Complete genome sequence of the Q-fever pathogen Coxiella burnetii. Proc Natl Acad Sci USA 2003; 100(9):5455-5460.

http://www.ncbi.nlm.nih.gov/genomes/lproks.cgi.

Madariaga MG, Rezai K, Trenholme GM, Weinstein RA. Q fever: a biological weapon in your backyard. Lancet Infect Dis 2003; 3(11):709-721.

Sawyer L, Fishbein D, McDale D. Q fever; current concepts. Rev Infect Dis 1987; 9:935-946.

http://www.bt.cdc.gov.

http://www.cfsph.iiaste.edu.

Fournier PE, Marrie TJ, Raoult D. Diagnosis of Q fever. J Clin Microbiol 1998; 36(7):1823-1834.

Raoult D, Tissot-Dupont H, Foucault C et al. Q fever 1985-1998. Clinical and epidemiologic features of 1,383 infections. Medecine (Baltimore) 2000; 79(2):109-123.

Kosatsky T. Household outbreak of Q-fever pneumonia related to a parturient cat. Lancet 1984; 2:1447-1449.

Langley JM, Marrie TJ, Covert A, Waag DM, Williams JC. Poker player’s pneumonia: an urban Outbreak of Q fever following exposure to a parturient cat. N Engl J Med 1988; 319(6):354-356.

Pinsky RL, Fishbein DB, Greene CR, Gensheimer KF. An outbreak of catassciated Q fever in the United States. J Infect Dis 1991; 164(1):202-204.

Dupuis G, Petite J, Peter O, Vouilloz M. An important outbreak of human Q fever in a Swiss alpine valley. Int J Epidemiol 1987; 16(2):282-287.

Tissot-Dupont H, Amadei MA, Nezri M, Raoult D. Wind in November, Q fever in December. Emerg Infect Dis 2004; 10(7):1264-1269.

Raoult D, Stein A. Q fever during pregnancy - A risk for women, foetuses and obstetricians. N. Engl J Med 1994; 330(3):371.

Marmion BP, Stoker MG. Q fever in Great Britain: epidemiology of an outbreak. Lancet 1950; 2(22):611-616.

Fishbein DB, Raoult D. A cluster of Coxiella burnetii infections associated with exposure to vaccinated goats and their unpasteurized dairy products. Am J Trop Med Hyg 1992; 47(1):35-40.

Marrie TJ. Q fever in octogenarians. Ann NY Acad Sci 1990; 590:266-270.

Maltezou H, Raoult D. Q fever in children. Lancet Infect Dis 2002; 2(11): 686-691.

Leone M, Honstettre A, Lepidi H et al. Effect of sex on Coxiella burnetii infection: protective role of 17 beta-estradiol. J Infect Dis 2004; 189(2):339-345.

Mendes MR, Carmona MH, Malva A, Souza RD. Febre Q. Estudo retrospectivo (casuística do Serviço de Doenças Infecto-Contagiosas do Hospital de Santa Maria). Revista Portuguesa de Doenças Infecciosas 1989; 12(3):149-157.

Oliveira J, Malcata L, Sá R et al. Febre Q – revisão de 53 casos (1987-1999). Arquivos de Medicina 2000; 4(3):46.

Marrie TJ, Schlech WF, Williams JC, Yates L. Q fever pneumonia associated with exposure to wild rabbits. Lancet 1986; 1(8478):427-429.

Raoult D, Marrie T. Q fever. Clin Infect Dis 1995; 20(3):489-495.

Marrie TJ. Coxiella burnetii pneumonia. Eur Respir J 2003; 21:713-719.

Bossi P, Van Loock F, Tegnell A, Gouvras G. Bichat clinical guidelines for bioterrorist agents. Euro Surveill. 2004; 9(12):1-5.

Gordon JD, MacKeen AD, Marrie TJ, Fraser DB. The radiographic features of epidemic and sporadic Q fever pneumonia. J Can Assc Radiol 1984; 35(3):293-296.

Carmo G, Reis AP, Abreu JF. Biopsia hepática: exame complementar de grande interesse no diagnóstico da febre Q. A propósito de um caso clínico. Revista Portuguesa de Doenças Infecciosas 1989; 12(3): 193-196.

Marazuela M, Moreno A Yebra M, Cerezo E, Gomez-Gesto C, Vargas JÁ. Hepatic fibrinring granulomas: a clinicopathologic study of 23 patients. Hum Pathol 1991; 22(6):607-613.

Levy P, Raoult D, Razongles JJ. Q fever and autoimmunity. Eur J Epidemiol 1989; 5(4):447-453.

Drancourt M, Raoult D, Xeridat B, Milandre L, Nesri M, Dano P. Q fever meningoencephalitis in five patients. Eur J Epidemiol 1991; 7(2):134-138.

Bernit E, Pouget J, Janbon F et al. Neurological involvement in acute Q fever: a report of 29 cases and review of the literature. Arch Intern Med 2000; 162(6):693-700.

Kofteridis DP, Mazokopakis E, Tselentis Y, Gikas A. Neurological complications of acute Q fever infection. Eur J Epidemiol 2004; 19:1051-

Marrie TJ, Raoult D. Update on Q fever, including Q fever endocarditis. Curr Clin Top Infect Dis 2002; 22:97-124.

Salamand A, Collart F, Caus T et al. Q fever endocarditis: over 14 years of surgical experience in referral centre for rickettsioses. J Heart Valve Dis 2002; 11(1)

Additional Files

Published

2007-06-29

How to Cite

1.
Santos AS, Bacellar F, França A. Q fever: a revision of concepts. RPMI [Internet]. 2007 Jun. 29 [cited 2024 May 19];14(2):90-9. Available from: https://revista.spmi.pt/index.php/rpmi/article/view/1548

Issue

Section

Review Articles