Lyagoubi M, Fassin D, Rogeaux O, Gentilini M
Département de Médecine Tropicale et Santé Publique, Groupe Hospitalier Pitié-Salpêtrière, Paris.
Bull Soc Pathol Exot Filiales. 1989;82(4):575-7.
Q fever is seldom reported in West Africa. The case of a man returning from Guinea Bissau who presented an acute lobar pneumonia with fever, headache, hematuria and hepatitis was confirmed by high titers of antibody in Phase II indirect immuno-fluorescence which appeared on the twelfth day of fever. Treatment with erythromycin was continued by doxycyclin, and complete resolution of all signs was promptly obtained. Coxiella Burnetii might thus be responsible of cases of unexplained fever with respiratory or hepatic manifestations in West Africa.
Q热在西非鲜有报道。一名从几内亚比绍返回的男子，出现急性大叶性肺炎，伴有发热、头痛、血尿和肝炎，在发热第12天通过II期间接免疫荧光法检测到高滴度抗体而确诊。最初用红霉素治疗，后改用强力霉素，所有症状迅速完全消退。因此，伯氏考克斯体可能是西非不明原因发热伴呼吸或肝脏表现病例的病因。
