Q fever - Revision history

Rossdonaldson1: Text replacement - "CXR" to "CXR"

2016-09-09T12:30:14Z

Text replacement - "*CXR" to "*CXR"

← Older revision		Revision as of 12:30, 9 September 2016
Line 31:		Line 31:
	*CBC, Complete Metabolic Panel – Liver enzymes usually elevated 2-10 times normal		*CBC, Complete Metabolic Panel – Liver enzymes usually elevated 2-10 times normal
	*[[Blood cultures]]		*[[Blood cultures]]
	*CXR		*[[CXR]]

	==Management==		==Management==

Neil.m.young: Text replacement - "==Diagnosis==" to "==Evaluation=="

2016-07-26T00:29:06Z

Text replacement - "==Diagnosis==" to "==Evaluation=="

← Older revision		Revision as of 00:29, 26 July 2016
Line 28:		Line 28:
	{{Lower respiratory zoonotic infections}}		{{Lower respiratory zoonotic infections}}

	==~~Diagnosis~~==		==Evaluation==
	*CBC, Complete Metabolic Panel – Liver enzymes usually elevated 2-10 times normal		*CBC, Complete Metabolic Panel – Liver enzymes usually elevated 2-10 times normal
	*[[Blood cultures]]		*[[Blood cultures]]

Neil.m.young: Text replacement - "0 mg" to "0mg"

2016-07-21T16:02:15Z

Text replacement - "0 mg" to "0mg"

← Older revision		Revision as of 16:02, 21 July 2016
Line 35:		Line 35:
	==Management==		==Management==
	*[[Doxycycline]]		*[[Doxycycline]]
	**Adults: ~~100 mg~~ BID		**Adults: 100mg BID
	**Children < 45 kg: 2.2mg/kg BID		**Children < 45 kg: 2.2mg/kg BID
	*Patients should be treated for at least 3 days after the fever subsides and until there is evidence of clinical improvement. Standard duration of treatment is 2-3 weeks.		*Patients should be treated for at least 3 days after the fever subsides and until there is evidence of clinical improvement. Standard duration of treatment is 2-3 weeks.

Neil.m.young: Text replacement - "2 mg" to "2mg"

2016-07-20T07:58:50Z

Text replacement - "2 mg" to "2mg"

← Older revision		Revision as of 07:58, 20 July 2016
Line 36:		Line 36:
	*[[Doxycycline]]		*[[Doxycycline]]
	**Adults: 100 mg BID		**Adults: 100 mg BID
	**Children < 45 kg: 2.~~2 mg~~/kg BID		**Children < 45 kg: 2.2mg/kg BID
	*Patients should be treated for at least 3 days after the fever subsides and until there is evidence of clinical improvement. Standard duration of treatment is 2-3 weeks.		*Patients should be treated for at least 3 days after the fever subsides and until there is evidence of clinical improvement. Standard duration of treatment is 2-3 weeks.

Neil.m.young: Text replacement - "* " to "*"

2016-07-04T14:36:25Z

Text replacement - "* " to "*"

← Older revision		Revision as of 14:36, 4 July 2016
Line 1:		Line 1:
	==Background==		==Background==
	* Described in 1937: occupational disease of abattoir workers (manage animals before and after slaughtering process) and dairy farmers		*Described in 1937: occupational disease of abattoir workers (manage animals before and after slaughtering process) and dairy farmers
	* Caused by Coxiella burnetii		*Caused by Coxiella burnetii
	** Obligate intracellular bacteria morphologically similar to Rickettsia		**Obligate intracellular bacteria morphologically similar to Rickettsia
	** Reservoirs include cattle, goat, sheep, and ticks (Dermacentor andersoni)		**Reservoirs include cattle, goat, sheep, and ticks (Dermacentor andersoni)
	* CDC: category B biologic warfare agent due to its inhaled infectivity		*CDC: category B biologic warfare agent due to its inhaled infectivity
	* Worldwide disease		*Worldwide disease

	==Clinical Features==		==Clinical Features==
	* Symptoms usually develop within 2-3 weeks, although up to half of those infected may not show symptoms		*Symptoms usually develop within 2-3 weeks, although up to half of those infected may not show symptoms
	** high [[fevers]] (up to 104-105°F)		**high [[fevers]] (up to 104-105°F)
	** severe [[headache]]		**severe [[headache]]
	** general malaise		**general malaise
	** myalgias		**myalgias
	** chills/sweats		**chills/sweats
	** non-productive cough		**non-productive cough
	** [[nausea/vomiting]]		**[[nausea/vomiting]]
	** [[diarrhea]]		**[[diarrhea]]
	** [[abdominal pain]]		**[[abdominal pain]]
	** [[chest pain]]		**[[chest pain]]
	* Complications include [[pneumonia]], granulomatous hepatitis (inflammation of the liver), [[myocarditis]] (inflammation of the heart tissue), and central nervous system complications.		*Complications include [[pneumonia]], granulomatous hepatitis (inflammation of the liver), [[myocarditis]] (inflammation of the heart tissue), and central nervous system complications.
	* [[Endocarditis]] is the major form of chronic disease		*[[Endocarditis]] is the major form of chronic disease
	* Infection in pregnancy is more likely to be asymptomatic, but often results in chronic Q fever and obstetrical complications		*Infection in pregnancy is more likely to be asymptomatic, but often results in chronic Q fever and obstetrical complications

	==Differential Diagnosis==		==Differential Diagnosis==
Line 29:		Line 29:

	==Diagnosis==		==Diagnosis==
	* CBC, Complete Metabolic Panel – Liver enzymes usually elevated 2-10 times normal		*CBC, Complete Metabolic Panel – Liver enzymes usually elevated 2-10 times normal
	* [[Blood cultures]]		*[[Blood cultures]]
	* CXR		*CXR

	==Management==		==Management==
	* [[Doxycycline]]		*[[Doxycycline]]
	** Adults: 100 mg BID		**Adults: 100 mg BID
	** Children < 45 kg: 2.2 mg/kg BID		**Children < 45 kg: 2.2 mg/kg BID
	* Patients should be treated for at least 3 days after the fever subsides and until there is evidence of clinical improvement. Standard duration of treatment is 2-3 weeks.		*Patients should be treated for at least 3 days after the fever subsides and until there is evidence of clinical improvement. Standard duration of treatment is 2-3 weeks.

	==Disposition==		==Disposition==
Line 48:		Line 48:
	==References==		==References==
	<references/>		<references/>
	* http://www.cdc.gov/qfever/		*http://www.cdc.gov/qfever/
	* http://www.ncbi.nlm.nih.gov/pubmed/16168313		*http://www.ncbi.nlm.nih.gov/pubmed/16168313

	[[Category:ID]]		[[Category:ID]]

Rossdonaldson1: /* Disposition */

2015-06-10T02:43:19Z

Disposition

← Older revision		Revision as of 02:43, 10 June 2015
Line 40:		Line 40:

	==Disposition==		==Disposition==
	Most patients require admission for further workup		*Most patients require admission for further workup

	==See Also==		==See Also==

Rossdonaldson1: /* Sources */

2015-06-10T02:43:08Z

Sources

← Older revision		Revision as of 02:43, 10 June 2015
Line 46:		Line 46:
	==External Links==		==External Links==

	==~~Sources~~==		==References==
	<references/>		<references/>
			* http://www.cdc.gov/qfever/
			* http://www.ncbi.nlm.nih.gov/pubmed/16168313

	[[Category:ID]]		[[Category:ID]]
	* http://www.cdc.gov/qfever/
	* Rosen’s Emergency Medicine 8th Edition
	* www.uptodate.com
	* http://www.ncbi.nlm.nih.gov/pubmed/16168313

Rossdonaldson1: /* Workup */

2015-06-10T02:42:36Z

Workup

← Older revision		Revision as of 02:42, 10 June 2015
Line 28:		Line 28:
	{{Lower respiratory zoonotic infections}}		{{Lower respiratory zoonotic infections}}

	==~~Workup~~==		==Diagnosis==
	* CBC, Complete Metabolic Panel – Liver enzymes usually elevated 2-10 times normal		* CBC, Complete Metabolic Panel – Liver enzymes usually elevated 2-10 times normal
	* [[Blood cultures]]		* [[Blood cultures]]

Rossdonaldson1: /* Differential Diagnosis */

2014-11-23T16:50:51Z

Differential Diagnosis

← Older revision		Revision as of 16:50, 23 November 2014
Line 25:		Line 25:
	==Differential Diagnosis==		==Differential Diagnosis==
	{{Fever in Traveler DDX}}		{{Fever in Traveler DDX}}

			{{Lower respiratory zoonotic infections}}

	==Workup==		==Workup==

Rossdonaldson1: /* Workup */

2014-10-17T21:09:57Z

Workup

← Older revision		Revision as of 21:09, 17 October 2014
Line 28:		Line 28:
	==Workup==		==Workup==
	* CBC, Complete Metabolic Panel – Liver enzymes usually elevated 2-10 times normal		* CBC, Complete Metabolic Panel – Liver enzymes usually elevated 2-10 times normal
	* Blood ~~Cultures~~		* [[Blood cultures]]
	* CXR		* CXR

Q fever - Revision history

Rossdonaldson1: Text replacement - "*CXR" to "*CXR"

Neil.m.young: Text replacement - "==Diagnosis==" to "==Evaluation=="

Neil.m.young: Text replacement - "0 mg" to "0mg"

Neil.m.young: Text replacement - "2 mg" to "2mg"

Neil.m.young: Text replacement - "* " to "*"

Rossdonaldson1: /* Disposition */

Rossdonaldson1: /* Sources */

Rossdonaldson1: /* Workup */

Rossdonaldson1: /* Differential Diagnosis */

Rossdonaldson1: /* Workup */

Rossdonaldson1: Text replacement - "CXR" to "CXR"