title: [Q fever on the island of La Palma. A review of 35 patients].
abstract: We present 35 patients diagnosed as suffering from Q fever during 1986, 1987, 1988. We establish a diagnosis criteria of complement titres greater than or equal to 1/64 or indirect immunofluorescent titres (IIT) 4 or more times higher than the initial, or a maintained title greater than or equal to 1/640 with specific IgM detected by positive IIT. 80% were male with a median age of 40.3 years. 85% had had contact with goats. 77% lived on the west side of the island 88.5% had increased GOT and GPT and only 5.7% had pneumonia. One patient previously healthy had ards, needing prolonged mechanical ventilation, and one patient had A-V blockade grade III which was treated successfully. We comment on the high incidence observed, which showed and endemic situation, and the epidemiological and clinical features of the disease.
authors.forename: A
authors.initials: A
authors.lastname: Millán Mon
authors.forename: A
authors.initials: A
authors.lastname: Argany Fajardo
authors.forename: J
authors.initials: J
authors.lastname: Febles Bethencourt
authors.forename: C
authors.initials: C
authors.lastname: González Caloca
authors.forename: T E
authors.initials: TE
authors.lastname: Vento Remedios
authors.forename: M
authors.initials: M
authors.lastname: Fernández Cabrera
mesh_terms: D000293:Adolescent; D000367:Age Factors; D000907:Antibodies, Bacterial / Q000097:blood; D000918:Antibody Specificity; D003165:Complement System Proteins / Q000032:analysis; D003381:Coxiella / Q000276:immunology; D006801:Humans; D007075:Immunoglobulin M / Q000032:analysis; D008297:Male; D008875:Middle Aged; D011778:Q Fever / Q000150:complications / Q000175:diagnosis* / Q000453:epidemiology; D012737:Sex Factors; D013030:Spain / Q000453:epidemiology
chemical_list: D000907:Antibodies, Bacterial; D007075:Immunoglobulin M; D003165:Complement System Proteins
vernacular_title: Fiebre Q en la isla de La Palma. Revisión de 35 pacientes.