Discover and read the best of Twitter Threads about #coxiella

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#idboardreview 30 goat farmer helped w/ goats birth 20d ago now presents w/ fever, rigors, severe retrobulbar headache, dyspnea, hepatitis. Dx? #medEd #idmedEd #IDtwitter
#coxiella burnetti (Q fever) manifest as a self-limited febrile illness, pneumonia, endocarditis, or hepatitis. There are many other less common manifestations, such as meningitis, encephalitis, and osteomyelitis. Infections are divided into acute and chronic forms.
#Qfever zoonosis usually acquired by inhalation or, much less commonly, by ingesting unpasteurized milk
Cattle, sheep, goats most common reservoirs
Infected parturient cats are important in spread in some areas
-extensive wildlife reservoir
-Windborne spread occur over 10 km
Read 8 tweets
Images of Infectious Diseases

74M Iowa farmer s/p Dacron graft repair of abdominal aortic aneurysm

2y later: back pain
MRI (photo) + enhancement of graft + aneurysm

Surgery (photo): bacteria, fungi/TB cultures (-)

DIF with anti-Coxiella Ab in fibroblasts (photo).
(MCQ next) Image
In a 74M farmer with multilevel vertebral osteomyelitis and soft tissue abscess contiguous with vascular graft and mycotic aneurysm, which serological pattern is most consistent with a diagnosis of chronic Q fever? #MayoIDQ (PI phase 1; PII phase 2 titers)
Case diagnosis: Chronic #Coxiella burnetti infection (#QFever): vascular graft, vertebral osteomyelitis, soft tissue abscesses

MCQ answer: choice B

Description reported by @AbinashVirkMD, @DOCElie and colleagues…
Read 10 tweets

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