[Q fever on the island of La Palma. A review of 35 patients].
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.
Millán Mon
A
A
Argany Fajardo
A
A
Febles Bethencourt
J
J
González Caloca
C
C
Vento Remedios
T E
TE
Fernández Cabrera
M
M
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
D000907:Antibodies, Bacterial; D007075:Immunoglobulin M; D003165:Complement System Proteins
Fiebre Q en la isla de La Palma. Revisión de 35 pacientes.