Rotaeche del Campo R, Anta Unanue J L
Centro de Salud de Azpeitia, Guipúzcoa.
Aten Primaria. 1990 Mar;7(3):211-2, 214-5.
Five cases of acute Q fever diagnosed in the same family are reported. The epidemiological and clinical features, the therapy and evolution of the infections by Coxiella burnetti are discussed. Q fever is a condition to be considered in febrile illnesses or atypical pneumonia, particularly when developing in outbreaks. It is concluded that Q fever should be considered as endemic in some areas of this country (Basque Country, Catalonia...). Finally, we think that antibiotic therapy (tetracyclines) should be given, as it can shorten the duration of the disease and prevent the development of severe chronic forms.
报告了同一家庭中确诊的5例急性Q热病例。讨论了伯氏考克斯体感染的流行病学和临床特征、治疗及病情演变。Q热是发热性疾病或非典型肺炎中应考虑的一种病症，尤其是在暴发时出现。得出的结论是，在该国的一些地区（巴斯克地区、加泰罗尼亚地区……）Q热应被视为地方病。最后，我们认为应给予抗生素治疗（四环素），因为它可以缩短病程并预防严重慢性形式的发展。
