title: Q-fever in a patient with a ventriculo-peritoneal drain. Case report and short review of the literature.
abstract: Although Q-fever is still a relatively rare disease in the Netherlands, its incidence seems to be increasing. In this article we describe the case-history of a 65-year-old woman with a Pudenz-drain, who acquired Q-fever pneumonia while manuring her garden. The course of the disease was deviant, which most likely was caused by colonization of the ventriculo-peritoneal drain with Coxiella burnetii. Q-fever usually presents as a self-limiting illness. In the case of chronic Q-fever, complications such as endocarditis, hepatitis or meningo-encephalitis can be fatal and require long-term treatment. Patients with artificial drains or valves carry a greater risk of developing such complications. Therefore, especially in patients at risk, Q-fever should be included in the differential diagnosis when dealing with a patient with unexplained fever.
authors.affiliation: Department of Internal Medicine, Diakonessen Hospital, Utrecht, Netherlands.
authors.forename: P J
authors.initials: PJ
authors.lastname: Lohuis
authors.forename: P C
authors.initials: PC
authors.lastname: Ligtenberg
authors.forename: R J
authors.initials: RJ
authors.lastname: Diepersloot
authors.forename: M
authors.initials: M
authors.lastname: de Graaf
mesh_terms: D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D011014:Pneumonia / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology*; D011778:Q Fever / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology*; D017287:Ventriculoperitoneal Shunt / Q000009:adverse effects*
chemical_list: D000900:Anti-Bacterial Agents