Martínez-Dubarbie F, Rollán-Martínez-Herrera M
Neurology Service, 'Marqués de Valdecilla' University Hospital, Santander, Spain.
Pediatrics Department, Cruces University Hospital, Barakaldo, Spain.
Acta Neurol Belg. 2022 Feb;122(1):17-22. doi: 10.1007/s13760-021-01791-2. Epub 2021 Sep 6.
Q fever is a zoonosis with a worldwide distribution caused by Coxiella burneti. Acute manifestations include a self-limited febrile illness which may associate headache, atypical pneumonia, or hepatitis. Neurological manifestations are rare, and they occur in less than half of the patients. Of these, approximately 1% present peripheral nervous system involvement, and, when present, it is difficult to diagnose because it has multiple manifestations such as mononeuritis multiplex, plexopathy or Guillain Barre syndrome. Due to the high rate of neurological sequelae, early diagnostic suspicion and appropriate treatment must be established. In this review, we have collected the patients with peripheral nervous system involvement due to Coxiella burnetii described so far. Our aim is to provide a concise description of the disease, its diagnosis and management that may be useful to clinicians treating such patients.
Q热是一种由伯氏考克斯体引起的呈全球分布的人畜共患病。急性表现包括一种自限性发热性疾病，可能伴有头痛、非典型肺炎或肝炎。神经学表现罕见，不到半数患者会出现。其中，约1%出现周围神经系统受累，一旦出现则难以诊断，因为它有多种表现形式，如多灶性单神经炎、神经丛病或吉兰-巴雷综合征。由于神经后遗症发生率高，必须尽早建立诊断怀疑并进行适当治疗。在本综述中，我们收集了迄今为止描述的因伯氏考克斯体导致周围神经系统受累的患者。我们的目的是对该疾病、其诊断和管理进行简要描述，这可能对治疗此类患者的临床医生有用。
