Lohuis P J, Ligtenberg P C, Diepersloot R J, de Graaf M
Department of Internal Medicine, Diakonessen Hospital, Utrecht, Netherlands.
Neth J Med. 1994 Feb;44(2):60-4.
Although Q-fever is still a relatively rare disease in the Netherlands, its incidence seems to be increasing. In this article we describe the case-history of a 65-year-old woman with a Pudenz-drain, who acquired Q-fever pneumonia while manuring her garden. The course of the disease was deviant, which most likely was caused by colonization of the ventriculo-peritoneal drain with Coxiella burnetii. Q-fever usually presents as a self-limiting illness. In the case of chronic Q-fever, complications such as endocarditis, hepatitis or meningo-encephalitis can be fatal and require long-term treatment. Patients with artificial drains or valves carry a greater risk of developing such complications. Therefore, especially in patients at risk, Q-fever should be included in the differential diagnosis when dealing with a patient with unexplained fever.
虽然Q热在荷兰仍然是一种相对罕见的疾病，但其发病率似乎在上升。在本文中，我们描述了一名65岁使用普登兹引流管的女性病例，她在花园施肥时感染了Q热肺炎。疾病过程异常，很可能是由伯氏考克斯体在脑室-腹腔引流管定植所致。Q热通常表现为一种自限性疾病。在慢性Q热病例中，心内膜炎、肝炎或脑膜脑炎等并发症可能致命，需要长期治疗。有人工引流管或瓣膜的患者发生此类并发症的风险更高。因此，尤其是在高危患者中，在处理不明原因发热的患者时，应将Q热纳入鉴别诊断。
