title: A Rare Case of Q Fever Osteomyelitis in a Child From Regional Australia.
abstract: Q fever osteomyelitis is a rare disease. We report an eighth pediatric case from regional Australia. Serology is the first-line diagnostic test, with confirmation by PCR on tissue specimens. In endemic settings, Q fever should be considered in the differential diagnosis of chronic osteomyelitis; in particular, presumed chronic-recurrent multifocal osteomyelitis should be considered a possible presentation of Q fever osteo-articular disease in children.
authors.affiliation: Department of Microbiology and Infectious Diseases Discipline of Paediatrics and Child Health, Sydney Medical School, University of Sydney, Australia.
authors.forename: P N
authors.initials: PN
authors.lastname: Britton
authors.affiliation: Department of Microbiology and Infectious Diseases Discipline of Paediatrics and Child Health, Sydney Medical School, University of Sydney, Australia.
authors.forename: K
authors.initials: K
authors.lastname: Macartney
authors.affiliation: Department of Anatomical Pathology, Children's Hospital at Westmead, Sydney.
authors.forename: S
authors.initials: S
authors.lastname: Arbuckle
authors.affiliation: Department of Orthopaedics Discipline of Paediatrics and Child Health, Sydney Medical School, University of Sydney, Australia.
authors.forename: D
authors.initials: D
authors.lastname: Little
authors.affiliation: Department of Microbiology and Infectious Diseases Discipline of Paediatrics and Child Health, Sydney Medical School, University of Sydney, Australia.
authors.forename: A
authors.initials: A
authors.lastname: Kesson
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002675:Child, Preschool; D003937:Diagnosis, Differential; D005260:Female; D016905:Gram-Negative Bacterial Infections / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy*; D006801:Humans; D010014:Osteolysis / Q000000981:diagnostic imaging; D010019:Osteomyelitis / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology / Q000601:surgery; D011778:Q Fever / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy*; D035583:Rare Diseases
chemical_list: D000900:Anti-Bacterial Agents
keywords: Australia; Q fever; child; osteomyelitis