Acute Q fever as a cause of acute febrile illness of unknown origin in Taiwan

Report of seven cases

Wen-Chien Ko, Jien Wei Liu, Yin Ching Chuang

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

Acute Q fever, caused by Coxiella burnetii has been well documented in Western countries, but only recently identified in Taiwan. Seven cases diagnosed by indirect fluorescent antibodies to phase II antigens of C. burnetii are reported. The patients were all men and a history of animal contact could be traced in most cases. Clinical manifestations were high fever, chills, relative bradycardia and elevated serum aminotransferases. Therapy with tetracycline or clarithromycin resulted in defervescence within 96 hours. Combining the knowledge on the prevalence of Q fever in Taiwan, the typical exposure history and clinical features in acute Q fever infection, primary care physicians may be able to avoid invasive but futile diagnostic intervention for patients with prolonged febrile illness. Prior to results from serologic testing, empiric therapy with tetracycline or its analogs may be considered for patients with typical clinical manifestations.

Original languageEnglish
Pages (from-to)295-297
Number of pages3
JournalJournal of the Formosan Medical Association
Volume96
Issue number4
Publication statusPublished - 1997 Apr 1

Fingerprint

Fever of Unknown Origin
Q Fever
Taiwan
Coxiella burnetii
Tetracycline
Fever
Chills
Clarithromycin
Primary Care Physicians
Bradycardia
Transaminases
History
Antigens
Antibodies
Therapeutics
Infection
Serum

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

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Acute Q fever as a cause of acute febrile illness of unknown origin in Taiwan : Report of seven cases. / Ko, Wen-Chien; Liu, Jien Wei; Chuang, Yin Ching.

In: Journal of the Formosan Medical Association, Vol. 96, No. 4, 01.04.1997, p. 295-297.

Research output: Contribution to journalArticle

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