Brownlee Centre, Gartnavel General Hospital, Glasgow, United Kingdom.
Travel Med Infect Dis. 2013 Mar-Apr;11(2):134-7. doi: 10.1016/j.tmaid.2012.11.001. Epub 2012 Dec 4.
We present the case of a 44-year-old civilian security officer medically evacuated from Iraq with acalculous cholecystitis and Guillain-Barré syndrome and subsequently found to have acute Q fever. The presenting features of Q fever in military and related personnel deployed to Iraq and Afghanistan are reviewed and the use of PCR in early diagnosis of Q fever is discussed. The atypical presentation in this case encourages clinicians to have a low threshold for considering Q fever as part of the differential diagnosis in soldiers and related personnel returning from these areas of high endemicity.
我们报告了一例 44 岁的平民保安人员，他从伊拉克被医疗后送，患有胆石性胆囊炎和格林-巴利综合征，随后被发现患有急性 Q 热。回顾了在部署到伊拉克和阿富汗的军事人员和相关人员中 Q 热的临床表现，并讨论了 PCR 在 Q 热早期诊断中的应用。本病例的非典型表现促使临床医生在考虑 Q 热作为来自这些高流行地区的士兵和相关人员鉴别诊断的一部分时，将门槛降得更低。
