title: [Differential diagnostic and therapeutic aspects of Q-fever in a male prisoner. Case report].
abstract: The authors describe the case of a 46-year-old man, who developed atypical pneumonia caused by Coxiella burnetii. Chest X-ray revealed interstitial pneumonia. Western blot and ELISA test were positive for Coxiella burnetii antibody. After treatment with doxycyclin and amoxicillin supplemented with vitamin B6 for 10 days, the patient displayed a clinical improvement. The authors conclude that in cases with atypical pneumonia, Coxiella burnetii antibody as well as other bacterial or viral antibodies should be determined.
authors.affiliation: Egészségügyi Osztály, Krónikus Utókezelő Részleg, Szegedi Fegyház és Börtön Szeged.
authors.forename: Melinda
authors.initials: M
authors.lastname: Vanya
authors.forename: Károly
authors.initials: K
authors.lastname: Szili
authors.forename: Szilvia
authors.initials: S
authors.lastname: Zámolyi
authors.forename: Hajnalka
authors.initials: H
authors.lastname: Magyar
authors.forename: Gábor
authors.initials: G
authors.lastname: Kőrösi
authors.forename: Árpád
authors.initials: Á
authors.lastname: Benkő
authors.forename: Anna
authors.initials: A
authors.lastname: Hornyák
authors.forename: Zsolt
authors.initials: Z
authors.lastname: Hegedűs
authors.forename: Lajos
authors.initials: L
authors.lastname: György
mesh_terms: D000111:Acetylcysteine / Q000627:therapeutic use; D019980:Amoxicillin-Potassium Clavulanate Combination / Q000627:therapeutic use; D000907:Antibodies, Bacterial / Q000097:blood*; D001205:Ascorbic Acid / Q000627:therapeutic use; D016997:Coxiella burnetii / Q000276:immunology / Q000302:isolation & purification*; D003937:Diagnosis, Differential; D004318:Doxycycline / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D006801:Humans; D008297:Male; D008875:Middle Aged; D018410:Pneumonia, Bacterial / Q000175:diagnosis* / Q000188:drug therapy* / Q000382:microbiology; D011329:Prisoners; D011778:Q Fever / Q000175:diagnosis* / Q000188:drug therapy*; D012838:Silymarin / Q000627:therapeutic use; D016896:Treatment Outcome
chemical_list: D000907:Antibodies, Bacterial; D012838:Silymarin; D019980:Amoxicillin-Potassium Clavulanate Combination; D004318:Doxycycline; D001205:Ascorbic Acid; D000111:Acetylcysteine
keywords: Q-fever; Q-láz; atypical pneumonia; atípusos pneumonia; fogvatartott; interstitial pneumonia; interstitialis pneumonia; prisoner