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Definition of «Fever, Q»

Fever, QFever, Q

Fever, Q: An acute febrile illness due to Coxiella burnetii (C. burnetii), a species of bacteria. Q fever is a zoonotic disease (contracted from animals). Aside from sudden onset of fever, there is headache, malaise, and pneumonia but no rash.

The disease was first reported in 1935 in Queensland, Australia. The Q is said not to be for Queensland, but for Query since the cause of the disease was long a query (a question mark).

In 1999, Q fever became a notifiable disease in the United States but reporting is not required in many other countries. Because the disease is underreported, scientists cannot reliably assess how many cases of Q fever have actually occurred worldwide. Many human infections are inapparent.

Cattle, sheep, and goats are the primary reservoirs of C. burnetii. Infection has been noted in a wide variety of other animals, including other breeds of livestock and in domesticated pets. C. burnetii does not usually cause clinical disease in these animals, although abortion in goats and sheep has been linked to C. burnetii infection. Organisms are excreted in milk, urine, and feces of infected animals. Most importantly, during birthing the organisms are shed in high numbers within the amniotic fluids and the placenta. The organisms are resistant to heat, drying, and many common disinfectants. These features enable the bacteria to survive for long periods in the environment. Infection of humans usually occurs by inhalation of these organisms from air that contains airborne barnyard dust contaminated by dried placental material, birth fluids, and excreta of infected herd animals. Humans are often very susceptible to the disease, and very few organisms may be required to cause infection.

Ingestion of contaminated milk, followed by regurgitation and inspiration of the contaminated food, is a less common mode of transmission. Other modes of transmission to humans, including tick bites and human to human transmission, are rare.

Only about one-half of all people infected with C. burnetii show signs of clinical illness. Most acute cases of Q fever begin with sudden onset of one or more of the following: high fevers (up to 104-105° F), severe headache, general malaise, myalgia (muscle ache), confusion, sore throat, chills, sweats, non-productive cough, nausea, vomiting, diarrhea, abdominal pain, and chest pain. Fever usually lasts for 1 to 2 weeks. Weight loss can occur and persist for some time. Thirty to fifty percent of patients with a symptomatic infection will develop pneumonia. Additionally, a majority of patients have abnormal results on liver function tests and some will develop hepatitis. In general, most patients will recover to good health within several months without any treatment. Only 1%-2% of people with acute Q fever die of the disease.

Chronic Q fever, characterized by infection that persists for more than 6 months is uncommon but is a much more serious disease. Patients who have had acute Q fever may develop the chronic form as soon as 1 year or as long as 20 years after initial infection. A serious complication of chronic Q fever is endocarditis, generally involving the aortic heart valves, less commonly the mitral valve. Most patients who develop chronic Q fever have pre-existing valvular heart disease or have a history of vascular graft. Transplant recipients, patients with cancer, and those with chronic kidney disease are also at risk of developing chronic Q fever. As many as 65% of persons with chronic Q fever may die of the disease.

The incubation period for Q fever varies depending on the number of organisms that initially infect the patient. Infection with greater numbers of organisms will result in shorter incubation periods. Most patients become ill within 2-3 weeks after exposure. Those who recover fully from infection may possess lifelong immunity against re-infection.

Because the signs and symptoms of Q fever are not specific to this disease, it is difficult to make an accurate diagnosis without appropriate laboratory testing. Results from some types of routine laboratory tests in the appropriate clinical and epidemiologic settings may suggest a diagnosis of Q fever. For example, a platelet count may be suggestive because persons with Q fever may show a transient thrombocytopenia (low platelet count). Confirming a diagnosis of Q fever requires blood serologic testing to detect the presence of antibodies to C. burnetii antigens. In most laboratories, the indirect immunofluorescence assay (IFA) is the most dependable and widely used method. C. burnetii may also be identified in infected tissues by using immunohistochemical staining and DNA detection methods.

The antibiotic doxycycline is the treatment of choice for acute Q fever and is most effective when initiated within the first 3 days of illness. Therapy should be started again if the disease relapses.

Chronic Q fever endocarditis (heart valve infection) is much more difficult to treat effectively and often requires the use of multiple drugs. Surgery to remove damaged valves may be required for some cases of C. burnetii endocarditis.

In the United States, Q fever outbreaks have resulted mainly from occupational exposure involving veterinarians, meat processing plant workers, sheep and dairy workers, livestock farmers, and researchers at facilities housing sheep. Prevention and control efforts should be directed primarily toward these groups and environments. The following measures should be used in the prevention and control of Q fever:

  • Use only pasteurized milk and pasteurized milk products.
  • Restrict access to barns and laboratories used in housing potentially infected animals.
  • Appropriately dispose of placenta, birth products, fetal membranes, and aborted fetuses at facilities housing sheep and goats.
  • Use appropriate procedures for bagging, autoclaving, and washing of laboratory clothing.
  • Vaccinate (where possible) individuals engaged in research with pregnant sheep or live C. burnetii.
  • Quarantine imported animals.
  • Ensure that holding facilities for sheep should be located away from populated areas.
  • Animals should be routinely tested for antibodies to C. burnetii, and measures should be implemented to prevent airflow to other occupied areas.
  • Counsel persons at highest risk for developing chronic Q fever, especially persons with pre-existing cardiac valvular disease or individuals with vascular grafts.
A vaccine for Q fever has been developed and has successfully protected humans in occupational settings in Australia. However, this vaccine is not commercially available in the United States. Persons wishing to be vaccinated should first have a skin test to determine a history of previous exposure. Individuals who have previously been exposed to C. burnetii should not receive the vaccine because severe reactions, localized to the area of the injected vaccine, may occur. A vaccine for use in animals has also been developed, but it is not available in the United States (as of 2001).

Coxiella burnetii is a highly infectious agent that is rather resistant to heat and drying. It can become airborne and inhaled by humans. A single C. burnetii organism may cause disease in a susceptible person.

Bioterrorism -- There has been concern about Q fever as a possible weapon for bioterrorism. The General Accounting Office, the investigative arm of the US Congress, in a 1999 report, however, considered Q fever "not likely" to be a biologic threat for terrorism, because of its "low lethality if treated." There is also difficulty in acquiring the seed stock of the agent (Coxiella burnetii) and moderate difficulty in processing and weaponizing it. The agent is stable and can persist for months on wood or in sand.

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