Discover and read the best of Twitter Threads about #qfever

Most recents (3)

Amy Offutt, MD: Rickettsial & Related Diseases
#RMSF Rocky Mountain Spotted Fever
#Ehrlichiosis
#Anaplasmosis
#Qfever
#Scrubtyphus
#ILADS2022 ImageImage
2/Offutt Ticks are the primary vectors for spotted fevers; some species may be spread by fleas and mites #ILADS2022 #RMSF #Richettsia
3/Offutt: #RMSF is the most severe rickettsial illness in the US with risk of death. Early treatment with #doxycycline is critical, regardless of age #ILADS2022 Image
Read 10 tweets
#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)
1/
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

ncbi.nlm.nih.gov/pmc/articles/P…
Read 10 tweets

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