Leung-Shea Charmaine, Danaher Patrick J
Department of Internal Medicine, David Grant US Air Force Medical Center, Travis Air Force Base, California, USA.
Clin Infect Dis. 2006 Oct 15;43(8):e77-82. doi: 10.1086/507639. Epub 2006 Sep 8.
Large numbers of armed forces personnel returning from southwest Asia may present with infections that are not endemic to the United States or that occur rarely and are underdiagnosed in the United States. We report 2 cases of acute Q fever in members of the US Military recently returned from Iraq. Because a number of recent reports suggest that the risk of Q fever may be higher than initially thought among US forces deployed to this region, clinicians need to have a high index of clinical suspicion, an understanding of the available diagnostic tests, and knowledge regarding the methodology and capabilities of the laboratory to which specimens are submitted.
大量从西南亚返回的武装部队人员可能出现非美国本土流行的感染，或在美国很少发生且诊断不足的感染。我们报告了2例最近从伊拉克返回的美国军人患急性Q热的病例。由于最近的一些报告表明，部署到该地区的美军中Q热风险可能高于最初的想法，临床医生需要有高度的临床怀疑指数，了解可用的诊断测试，以及有关送检标本实验室的方法和能力的知识。
