Two rare severe and fulminant presentations of Q fever in patients with minimal risk factors for this disease.
We described two rare severe and fulminant clinical presentations of acute Q fever. The first patient had severe multiorgan failure. The second patient had fever and severe cholera-like diarrhoea. Coxiella burnetii polymerase chain reaction on blood or serum can be clinically useful in the diagnosis of acute Q fever before seroconversion.
Munckhof
W J
WJ
Infection Management Service, Princess Alexandra Hospital, Woolloongabba, Queensland, Australia. wendy_munckhof@health.qld.gov.au
Runnegar
N
N
Gray
T J
TJ
Taylor
C
C
Palmer
C
C
Holley
A
A
D000328:Adult; D016997:Coxiella burnetii; D003967:Diarrhea / Q000382:microbiology* / Q000628:therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D016133:Polymerase Chain Reaction; D011778:Q Fever / Q000097:blood* / Q000175:diagnosis* / Q000628:therapy; D012307:Risk Factors; D012772:Shock, Septic / Q000382:microbiology* / Q000628:therapy; D016896:Treatment Outcome